Provider Demographics
NPI:1255754719
Name:SADHU, PHANINDAR REDDY (MD)
Entity type:Individual
Prefix:DR
First Name:PHANINDAR
Middle Name:REDDY
Last Name:SADHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3903 FAIR RIDGE DR STE 218
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2945
Mailing Address - Country:US
Mailing Address - Phone:703-870-3750
Mailing Address - Fax:855-749-9998
Practice Address - Street 1:3903 FAIR RIDGE DR STE 218
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2945
Practice Address - Country:US
Practice Address - Phone:703-870-3750
Practice Address - Fax:855-749-9998
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-02030207R00000X
VA0101268267207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine