Kuchibhotla, Sai Diwakar
Kuchibhotla, Sai Diwakar is an individual health care provider with primary practice located at 8700 Sudley Rd , Manassas VA 20110-4418. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Kuchibhotla, Sai Diwakar can be contacted via phone (703) 396-5292.Contact Information
Primary practice address
8700 Sudley Rd
Manassas VA 20110-4418
Phone: (703) 396-5292
Fax: (703) 396-5297
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | COA.11893 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0024170558 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024170558 | Virginia |
Profile Details
NPI number | 1548570039 |
---|---|
LBN Legal business name | Kuchibhotla, Sai Diwakar |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2010 |
Last updated | Feb 3rd, 2022 - about 2 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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