Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101245904 | VA |
Y | 111NI0900X | Internist | 0101245904 | VA |
N | 207U00000X | Nuclear Medicine Specialist | MD036923 | DC |
NPI | 1245473719 |
---|---|
Provider Name | Dr. Varalakshmi V N Bandaru |
First Address | Reston, VA 20190-3204 |
Second Address | Reston, VA 20190-3204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 14/12/2021 |