Provider Demographics
NPI:1669633715
Name:KAVURU, SAILAJA NAGA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAILAJA
Middle Name:NAGA
Last Name:KAVURU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 CATAWBA HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:CATAWBA
Mailing Address - State:VA
Mailing Address - Zip Code:24070-2115
Mailing Address - Country:US
Mailing Address - Phone:540-375-4368
Mailing Address - Fax:540-375-4359
Practice Address - Street 1:5525 CATAWBA HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CATAWBA
Practice Address - State:VA
Practice Address - Zip Code:24070-2115
Practice Address - Country:US
Practice Address - Phone:540-375-4368
Practice Address - Fax:540-375-4359
Is Sole Proprietor?:No
Enumeration Date:2008-06-21
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012505862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry