Allergy & Asthma Affiliates, Inc.
Organization Active NPI Allergy Physician · Lansdowne, VA
NPI 1649347014 · NPPES record last updated Sep 26, 2008
Key facts
- NPI
- 1649347014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy Physician 207KA0200X
- License
- 0101059099 (VA)
- Legal business name
- ALLERGY & ASTHMA AFFILIATES, INC.
- Practice address
- 19415 Deerfield Ave
Suite #210
Lansdowne, VA 20176-8452 - Phone
- (703) 729-8830
- Fax
- (703) 729-8477
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Srinagesh Paluvoi, M.D.
- Title
- President
- Phone
- (703) 729-8830
Practitioners 1
-
Srinagesh Paluvoi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090722000581 | VA | Part B Supplier - Clinic/Group Practice | 8628120607 |
Receives reassigned benefits from 1 practitioner Practice locations: Gainesville, VA; Lansdowne, VA |
National Provider Directory
Locations
2946 Sleepy Hollow Rd
Ste 2E
Falls Church, VA 22044
Phone (703) 237-5035
7576 Gardner Park Dr
Gainesville, VA 20155
Phone (703) 424-1948
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician |
207KA0200X | 0101059099 | VA | Yes |
Addresses
Primary practice location
19415 Deerfield Ave
Suite #210
Lansdowne, VA 20176-8452
Mailing address
19415 Deerfield Ave
Suite #210
Lansdowne, VA 20176-8452
Phone (703) 729-8830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7604238 | Medicaid | VA |
Other providers in Lansdowne, VA
- Paulos Dereje Abebe
- Chandra Adhikari
- Adult and Geriatric Psychiatry
- Ashley Aguirre
- Ali Al-Fakhri
- Allergy Asthma & Immunology Institute
- Nicole Renae Alvarez
- American Oncology Partners, P.a.
- Gabrielle L Anderson
- Seemi Andrabi
All providers in Lansdowne, VA · Allergy Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.