Kavitha K Nakka, MD Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

06068936 Issued in VA

Legal business name

KAVITHA K NAKKA, MD INC.

Practice address

8301 Arlington Blvd
Suite # T-5
Fairfax, VA 22031-2902

Phone

(703) 560-0404

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kishore K Nakka

Title

Officer

Phone

(703) 435-1713

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1174796445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 WINTER WREN CT",
            "city": "OAK HILL",
            "state": "VA",
            "postal_code": "201711830",
            "telephone_number": "703-560-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "SUITE # T-5",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-560-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVITHA K NAKKA, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "NAKKA",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "703-435-1713",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "06068936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010051291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DC4838",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kaufman
• Reena S Kaul, M.D.
• Namrata Kaur, DMD
• Sandeep Kaur, PA
• Pankaj Kaushal, M.D.
• Denise Kavleski
• Jacqueline Melissa Kay, ATC
• Dawn Bressler Kaye, LCSW
• Alexandra Kazakis, MD
• Kcyc Corp

• Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.