Provider Demographics
NPI:1629395736
Name:PLAYFORTH, KRUPA B (MD)
Entity Type:Individual
Prefix:DR
First Name:KRUPA
Middle Name:B
Last Name:PLAYFORTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KRUPA
Other - Middle Name:BHOJANI
Other - Last Name:PLAYFORTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7120 MERRIMAC DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3407
Mailing Address - Country:US
Mailing Address - Phone:704-685-1522
Mailing Address - Fax:703-914-5494
Practice Address - Street 1:8320 OLD COURTHOUSE RD STE 401
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3848
Practice Address - Country:US
Practice Address - Phone:704-685-1522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012539852080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine