Provider Demographics
NPI:1427307362
Name:ARLINGTON ALLERGY & ASTHMA CENTER, PLLC
Entity type:Organization
Organization Name:ARLINGTON ALLERGY & ASTHMA CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MADHU
Authorized Official - Middle Name:B
Authorized Official - Last Name:NARRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-261-4224
Mailing Address - Street 1:PO BOX 7144
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-0144
Mailing Address - Country:US
Mailing Address - Phone:703-261-4224
Mailing Address - Fax:703-649-6493
Practice Address - Street 1:5275 LEE HWY
Practice Address - Street 2:STE 201
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1619
Practice Address - Country:US
Practice Address - Phone:703-261-4224
Practice Address - Fax:703-649-6493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251659207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty