SearchVirginia363A00000X

Srividya Thotakura, PAC

NPI 1407220353 · on the registry since 2015 · sole proprietor

Practice

Address
13158 Ruby Lace Ct
Herndon, VA 20171
Phone
(612) 200-4585

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Female
Record last updated
2015-11-16

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