Organization Active NPI

Prakash D. Adawadkar, M.D., P.C.

  • Pediatrics Physician
  • Woodbridge, VA
National Provider Identifier
1932216330
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PRAKASH D. ADAWADKAR, M.D., P.C.
Practice address
4201 Dale Blvd
Woodbridge, VA 22193-2243
Phone
(703) 670-0300
Fax
(703) 670-6759
NPI assigned
Aug 23, 2006
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Prakash D. Adawadkar, M.D.NPI 1235132317
Title
Owner
Phone
(703) 670-0300

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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

4201 Dale Blvd
Woodbridge, VA 22193-2243

Mailing address

4201 Dale Blvd
Woodbridge, VA 22193-2243
Phone (703) 670-0300

National Provider Directory

National Provider Directory

Locations

4201 Dale Blvd
Woodbridge, VA 22193
Phone (703) 670-0300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1932216330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-670-0300",
            "fax_number": "703-670-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-670-0300",
            "fax_number": "703-670-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH D. ADAWADKAR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "ADAWADKAR",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-670-0300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.