Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 0101255309 | VA |
NPI | 1184850281 |
---|---|
Provider Name | Deepthi Gadde |
First Address | Warrenton, VA 20186-2628 |
Second Address | Warrenton, VA 20186-2628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2009 |
Last Update Date | 03/10/2018 |