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Alex P. Pavidapha, MD
Vascular & Interventional Radiology Physician in Reston, Virginia
NPI 1053799585

Alex P. Pavidapha is a Vascular & Interventional Radiology Physician based in Leesburg, VA and is specialized in Vascular & Interventional Radiology. Alex P. Pavidapha practices in Reston, VA and has the professional credentials of MD. The NPI Number for Alex P. Pavidapha is 1053799585 and holds a License No. 0101273549 (Virginia).

The current practice location address for Alex P. Pavidapha is 1801 Robert Fulton Drive, Suite 510, Reston, VA and can be reached out via phone at 703-783-5355.

Location: 1801 Robert Fulton Drive, Suite 510, Reston, VA, 20176-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053799585
Provider Name
Alex P. Pavidapha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1801 Robert Fulton Drive, Suite 510, Reston, VA, 20176-2704
Phone Number
703-783-5355
Fax Number
Provider Enumeration Date
05/17/2015
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053799585 05 VA
30017438440001 05 VA
institution
Provider Business Practice Location Address Details
Address
1801 Robert Fulton Drive, Suite 510
City
Reston
State
Virginia
Zip
20191-5481
Phone Number
703-783-5355
Fax Number
person
Provider Business Mailing Address Details
Address
1801 Robert Fulton Drive, Suite 510
City
Reston
State
Virginia
Zip
20191-5481
Phone Number
703-783-5355
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
287471 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
0101273549 (Virginia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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