Reddy, Soma Narasimha
Reddy, Soma Narasimha is an sole proprietor health care provider with primary practice located at 8907 Periwinkle Blue Ct , Lorton VA 22079-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reddy, Soma Narasimha can be contacted via phone (240) 210-1641.Contact Information
Primary practice address
8907 Periwinkle Blue Ct
Lorton VA 22079-5700
Phone: (240) 210-1641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D17986 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101025624 | Virginia |
Profile Details
| NPI number | 1598760597 |
|---|---|
| LBN Legal business name | Reddy, Soma Narasimha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 9th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598760597 | NPPES |
| Maryland | MEDICAID | 036211500 |
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