Provider Demographics
NPI:1699842187
Name:PALUVOI, SRINAGESH (MD)
Entity Type:Individual
Prefix:DR
First Name:SRINAGESH
Middle Name:
Last Name:PALUVOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19415 DEERFIELD AVE
Mailing Address - Street 2:SUITE #210
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8452
Mailing Address - Country:US
Mailing Address - Phone:703-729-8830
Mailing Address - Fax:703-729-8477
Practice Address - Street 1:19415 DEERFIELD AVE
Practice Address - Street 2:SUITE #210
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8452
Practice Address - Country:US
Practice Address - Phone:703-729-8830
Practice Address - Fax:703-729-8477
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101059099207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7604238Medicaid
VA00B498A73Medicare PIN
VA7604238Medicaid