SMITHA REDDY BEERAVOLU (NPI# 1831325117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831325117 |
| Entity Type | Individual |
| Full Name | SMITHA REDDY BEERAVOLU |
| Credential | M.D. |
| Practice Address |
24801 Pinebrook Rd Ste 110 Chantilly VA 20152-4113 |
| Mailing Address |
20944 Winola Ter Ashburn VA 20147-6482 |
| Practice Telephone | 7037222500 |
| Mailing Telephone | 5103165562 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | BP10035323 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
24801 PINEBROOK RD STE 110 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20152-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607297 | Hyegin Helen Cho | Family Medicine | 24801 Pinebrook Rd Ste 110, Chantilly, VA 20152 | 2005-05-31 |
| 1588219778 | Laura Kangha Nyindem | Nurse Practitioner | 24801 Pinebrook Rd Ste 110, Chantilly, VA 20152-4113 | 2019-08-05 |
| 1902379241 | Nadege Ateh | Nurse Practitioner | 24801 Pinebrook Rd Ste 110, Chantilly, VA 20152-4113 | 2019-01-09 |
| 1609381219 | Ashleigh Jordan Tiller | Nurse Practitioner | 24801 Pinebrook Rd Ste 110, Chantilly, VA 20152-4113 | 2017-12-05 |
| 1750665196 | Christy Michelle Harshberger | Nurse Practitioner | 24801 Pinebrook Rd Ste 110, Chantilly, VA 20152-4113 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1982178620 | South Riding Modern Dentistry, PC | Dentist | 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 | 2019-01-16 |
| 1154897627 | Nicole Hong | Dentist | 25273 Nesting Sq, Chantilly, VA 20152 | 2018-10-22 |
| 1437586369 | Chiron Physical Therapy LLC | Physical Therapist | 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 | 2013-10-10 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1992955777 | Sohaib S. Elsayed | Family Medicine | 25055 Riding Plz Ste 220, South Riding, VA 20152 | 2008-09-29 |
| 1538328067 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24795 Pinebrook Rd, South Riding, VA 20152 | 2008-06-09 |
| 1790970556 | Irfan Galaria | Plastic Surgery | 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 | 2007-09-13 |
| 1316150881 | Dina Gottesman | Pediatrics | 25055 Riding Plaza, Suite 150, South Riding, VA 20152 | 2007-05-08 |
| Find all providers in zip 20152 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356756563 | Ashley Rose | Family Medicine | 4995 Westone Plz, Chantilly, VA 20151 | 2014-06-25 |
| 1871908145 | Patient First Richmond Medical Group Pllc | Family Medicine | 3918 Centreville Road, Chantilly, VA 20151-3224 | 2014-06-25 |
| 1497079073 | Chantilly Specialists, Ltd. of Virginia | Family Medicine | 4200 Lafayette Center Dr, Ste R, Chantilly, VA 20151-1241 | 2010-03-25 |
| 1376722710 | Mhd Mounaf Alsamman | Family Medicine | 24801 Pinebrook Rd Ste 202, Chantilly, VA 20152-4113 | 2007-11-02 |
| 1558408880 | Ayse Nur Turgut | Family Medicine | 4090 Lafayette Center Drive, Chantilly, VA 20151 | 2007-01-30 |
| 1215026703 | Kanika Govil | Family Medicine | 14133 Robert Paris Ct, Chantilly, VA 20151-4203 | 2006-10-12 |
| 1588641419 | George Michael Lynch | Family Medicine | 3914 Centreville Rd, #250, Chantilly, VA 20151-3224 | 2005-12-30 |
| 1346234648 | Augustine A Dolcich | Family Medicine | 4080 Lafayette Center Drive, Ste 170, Chantilly, VA 20151 | 2005-09-01 |
| 1780684191 | Trupti Patel | Family Medicine | 25055 Riding Plz Ste 230, Chantilly, VA 20152-5920 | 2005-07-28 |
| 1790784254 | Telina Marie Williams-stuckey | Family Medicine | 3918 Centreville Rd, Chantilly, VA 20151 | 2005-07-18 |
| Find all providers in CHANTILLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.