Provider Demographics
NPI:1457752875
Name:VALLEPALLI, NEELIMA
Entity Type:Individual
Prefix:MRS
First Name:NEELIMA
Middle Name:
Last Name:VALLEPALLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22598 SCATTERSVILLE GAP TER
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-3176
Mailing Address - Country:US
Mailing Address - Phone:703-728-0160
Mailing Address - Fax:
Practice Address - Street 1:22598 SCATTERSVILLE GAP TER
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-3176
Practice Address - Country:US
Practice Address - Phone:703-728-0160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202211831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist