DR. RENUKA RAO (NPI# 1871152314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871152314 |
| Entity Type | Individual |
| Full Name | DR. RENUKA RAO |
| Credential | DMD |
| Practice Address |
43170 Southern Walk Plz Ste 116 Broadlands VA 20148-4464 |
| Mailing Address |
3819 Hillcrest Ln Annandale VA 22003-2311 |
| Practice Telephone | 7036874320 |
| Mailing Telephone | 7039943638 |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2019-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401416536 | VA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9625 Surveyor Ct Ste 101, Manassas, VA 201104408 | 7039943638 |
| Street Address |
43170 SOUTHERN WALK PLZ STE 116 |
| City | BROADLANDS |
| State | VA |
| Zip Code | 20148-4464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881075893 | Pooya Aflatooni | Dentist | 43170 Southern Walk Plz Ste 116, Broadlands, VA 20148-4464 | 2015-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447550 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 23684 Strickland Drive, Ashburn, VA 20148 | 2019-10-04 |
| 1932760196 | Gino Vc, Dds, Pllc | Clinic/Center | 22420 Flagstaff Plaza, Suite 150, Ashburn, VA 20148 | 2019-06-27 |
| 1396241907 | Shawnda Williams Saul | Speech-Language Pathologist | 2100 Education Court, Ashburn, VA 20148 | 2018-04-03 |
| 1558879973 | Gianfranco Acevedo | Non-emergency Medical Transport (VAN) | 22535 Welborne Manor Sq, Ashburn, VA 20148 | 2018-01-19 |
| 1255855797 | Juan Pablo Duran | Physical Therapist | 42365 Soave Dr Ste 200, Brambleton, VA 20148 | 2017-07-26 |
| 1972918670 | Ashley Passarelli | Speech-Language Pathologist | 21000 Education Ct., Ashburn, VA 20148 | 2014-06-23 |
| 1326396474 | Mary Elizabeth Creagh | Speech-Language Pathologist | 21000 Education Court, Ashburn, VA 20148 | 2012-08-21 |
| 1770838971 | Harris Teeter LLC | Pharmacy | 43315 Crandall Square, Ashburn, VA 20148 | 2012-07-13 |
| 1326308834 | Shilpa Arimanda | Physical Therapist | 43356 Barnstead Dr, Ashburn, VA 20148 | 2012-05-18 |
| 1760750988 | Minhhieu Nguyen | Pharmacist | 43776 Maison Blanc Square, Ashburn, VA 20148 | 2011-12-02 |
| Find all providers in zip 20148 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710308051 | Zia Rizvi Dds PC | Dentist | 42882 Truro Parish Dr, 208, Broadlands, VA 20148-4456 | 2014-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588488 | Nishchal Mukesh Dalal | Dentist | 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2020-11-08 |
| 1679173140 | Obada Itemaad Salem | Dentist | 15124 Majestic Creek Dr, South Chesterfield, VA 23834-6828 | 2020-10-26 |
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1184221616 | American Dental Pllc | Dentist | 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 | 2020-10-07 |
| 1013523380 | Nour Hussam Tellawi | Dentist | 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 | 2020-09-21 |
| 1760097737 | Jamiah Dawson, Dds, P.C. | Dentist | 12731 Jefferson Ave, Newport News, VA 23602-4317 | 2020-09-15 |
| 1477165561 | Amina Mekic | Dentist | 14337 Newbrook Dr, Chantilly, VA 20151-4258 | 2020-08-19 |
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BROADLANDS |
| Zip Code | 20148 |
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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.