Search › Virginia › 2085R0204X
Alex Pavidapha, M.D
NPI 1053799585 · on the registry since 2015
Practice
- Address
- 1801 Robert Fulton Drive, Suite 510
Reston, VA 20191 - Phone
- (703) 783-5355
- Organisation at this address
- Keya Health
Loudoun Medical Group, Pc
Reston Family Dentist Group Pllc
Pain Care Centers Of America Pllc
Professional Dermatology Care, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 19500 Sandridge Way Ste 300, Leesburg, VA
- 55 Lake Ave N, Worcester, MA
Registry record
- Primary taxonomy
- 2085R0204X
2085R0204X
- Also registered as
- 2085R0202X
2085R0202X
2085R0204X - Licence states on file
- VA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia