Organization Active NPI

Sobha R Paluvoi MD PC

  • Geriatric Psychiatry Physician
  • Lansdowne, VA
National Provider Identifier
1972670446
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
0101235532 Issued in VA
Legal business name
SOBHA R PALUVOI MD PC
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

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Sobha R Paluvoi, M.D.NPI 1851578850
Title
President
Phone
(703) 729-8830

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
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 0101235532 VA Primary

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 1

IdentifierTypeStateIssuer
010090245MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000143 VA Part B Supplier - Clinic/Group Practice 4587647409 Receives reassigned benefits from 1 practitioner
Practice locations: Lansdowne, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1972670446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "SUITE #210",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "703-729-8830",
            "fax_number": "703-729-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "SUITE #210",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "703-729-8830",
            "fax_number": "703-729-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBHA R PALUVOI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "PALUVOI",
        "authorized_official_first_name": "SOBHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-729-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "VA",
            "license": "0101235532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010090245",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.