Madiraju, Krishna Prasad

Madiraju, Krishna Prasad is an individual health care provider with primary practice located at 2024 Opitz Blvd Ste A , Woodbridge VA 22191-3388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Madiraju, Krishna Prasad can be contacted via phone (703) 492-7000.

Contact Information

Primary practice address
2024 Opitz Blvd Ste A Woodbridge VA 22191-3388
Phone: (703) 492-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101054958 Virginia

Profile Details

NPI number 1376600759
LBN Legal business name Madiraju, Krishna Prasad
Credentials M.D.FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376600759 NPPES
Virginia MEDICAID 010236568
Virginia Other 5686693
Virginia Other 897801
Virginia MEDICAID 006720421
Virginia MEDICAID 006739491
Virginia MEDICAID 259327
Virginia MEDICAID 368437
Virginia Other 98446

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