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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598760597 NPPES
Maryland MEDICAID 036211500

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