Thotakura, Srividya

Thotakura, Srividya is an sole proprietor health care provider with primary practice located at 13158 Ruby Lace Ct , Herndon VA 20171-2337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thotakura, Srividya can be contacted via phone (612) 200-4585.

Contact Information

Primary practice address
13158 Ruby Lace Ct Herndon VA 20171-2337
Phone: (612) 200-4585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1407220353
LBN Legal business name Thotakura, Srividya
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2015
Last updated Nov 16th, 2015 - 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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