Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101268492 | VA |
NPI | 1043620628 |
---|---|
Provider Name | Vignesh Alamanda |
First Address | Reston, VA 20190-3300 |
Second Address | Reston, VA 20190-3300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2014 |
Last Update Date | 07/08/2020 |