NPIMap

Shansa Gaddam, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Falls Church, VA

NPI 1922844463 · NPPES record last updated Jul 3, 2024

Key facts

NPI
1922844463
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
0116039839 (VA)
Practice address
Inova Fairfax Medical Campus Gme Dept of Medicine
3300 Gallows Road
Falls Church, VA 22042
Phone
(703) 776-3582
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0116039839VAMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116039839 VA Yes

Addresses

Primary practice location

Inova Fairfax Medical Campus Gme Dept of Medicine
3300 Gallows Road
Falls Church, VA 22042

Mailing address

Inova Fairfax Medical Campus Gme Dept of Medicine
3300 Gallows Road
Falls Church, VA 22042
Phone (703) 776-3582

Other providers in Falls Church, VA

All providers in Falls Church, VA · Student in an Organized Health Care Education/Training Program in Virginia

Sources for this page

Verify at the official NPI Registry.