Organization Active NPI

Maadhava Ellaurie MD PC

  • Allergy & Immunology Physician
  • Sterling, VA
National Provider Identifier
1083775571
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
MAADHAVA ELLAURIE MD PC
Practice address
21165 Whitfield PL
Suite 202
Sterling, VA 20165-7280
Phone
(703) 444-0817
Fax
(703) 444-0893
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maadhava Ellaurie, MDNPI 1942275714
Title
Owner
Phone
(703) 444-0817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

21165 Whitfield PL
Suite 202
Sterling, VA 20165-7280

Mailing address

21165 Whitfield PL
Suite 202
Sterling, VA 20165-7280
Phone (703) 444-0817

Other names 1

  • Capitol Allergy & Asthma Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capitol Allergy Asthma Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21165 Whitfield Pl
Ste 202
Sterling, VA 20165
Phone (703) 444-0817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1083775571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21165 WHITFIELD PL",
            "address_2": "SUITE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657280",
            "telephone_number": "703-444-0817",
            "fax_number": "703-444-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21165 WHITFIELD PL",
            "address_2": "SUITE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657280",
            "telephone_number": "703-444-0817",
            "fax_number": "703-444-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAADHAVA ELLAURIE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "ELLAURIE",
        "authorized_official_first_name": "MAADHAVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-444-0817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Allergy & Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.