Kavitha Kishore Nakka, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

VA0101234646 Issued in VA

Practice address

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

Phone

(703) 560-0404

Fax

(703) 560-0202

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patel Ramanan and Associates P.a.

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1639347933
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1346251279",
    "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",
            "fax_number": "703-560-0202"
        },
        {
            "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",
            "fax_number": "703-560-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKKA",
        "first_name": "KAVITHA",
        "middle_name": "KISHORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "VA0101234646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010051291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "G01506K01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Naimi, MD
• Rajev Ishwar Nain, M.D.
• Beena Nair, PT
• Seema S Nair, M.D.
• Brenda Nakato, LNP
• Johnny Kwan Nam, D.D.S.
• Nana Dickson, DDS PC (Allegra Dental Center)
• Christelle Sonia Nana
• Kinjal Jadeja Nana
• Nancy Price LCSW

• Internal Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Internal Medicine Physician 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.