Kona, Padmalatha R

Kona, Padmalatha R is an individual health care provider with primary practice located at 1850 Town Center Pkwy , Reston VA 20190-3219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kona, Padmalatha R can be contacted via phone (703) 639-9510.

Contact Information

Primary practice address
1850 Town Center Pkwy Reston VA 20190-3219
Fax: (703) 639-9511
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101233997 Virginia

Profile Details

NPI number 1558333427
LBN Legal business name Kona, Padmalatha R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558333427 NPPES
Virginia MEDICAID 0101239087

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