SRIVIDYA THOTAKURA, PAC

PAC

Physician Assistant

NPI: 1407220353IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2015

Contact & Hours

Address: 13158 RUBY LACE CT
HERNDON, VA 20171
Phone: (612) 200-4585

Location

Practice Location

13158 RUBY LACE CT, HERNDON, VA

Quick Facts

NPI: 1407220353
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 11

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