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General NPI Number Information
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NPI Number | 1427307362
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Entity Type | Organization
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Legal Business Name | ARLINGTON ALLERGY & ASTHMA CENTER, PLLC
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 5275 LEE HWY STE 201
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City | ARLINGTON
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State | VA
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Zip | 22207-1619
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Country | US
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Telephone | 703-261-4224
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Fax | 703-649-6493
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Provider Business Mailing Address
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Address Line | PO BOX 7144
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City | ARLINGTON
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State | VA
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Zip | 22207-0144
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Country | US
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Telephone | 703-261-4224
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Fax | 703-649-6493
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Authorized Official
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Title or Position | MANAGER
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Name | MADHU B NARRA
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Credential | M.D.
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Telephone | 703-261-4224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 0101251659
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License Number State | VA
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