Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0101059099 | VA |
NPI | 1699842187 |
---|---|
Provider Name | Dr. Srinagesh Paluvoi |
First Address | Lansdowne, VA 20176-8452 |
Second Address | Lansdowne, VA 20176-8452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 26/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7604238 | (05) | VA |
G44910 | (02) | VA |