Active NPI
Annu Narayanan Pullarkat, PLLC
- Internal Medicine Physician
- Vienna, VA
National Provider Identifier
1982843421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101243831
- Legal business name
- ANNU NARAYANAN PULLARKAT, PLLC
- Practice address
- 2188 Amber Meadows Dr
Vienna, VA 22182-5320 - Phone
- (703) 205-0423
- Fax
- (703) 992-6747
- NPI assigned
- Feb 6, 2009
- Last updated
- Apr 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Annu Narayanan Pullarkat, M.B.B.S/M.D
- Title
- M.B.B.S/M.D
- Phone
- (703) 205-0423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101243831 | VA | Primary |
Addresses
Primary practice location
2188 Amber Meadows Dr
Vienna, VA 22182-5320
Mailing address
2188 Amber Meadows Dr
Vienna, VA 22182-5320
Phone (703) 205-0423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982843421 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301961600000",
"number": "1982843421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2188 AMBER MEADOWS DR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825320",
"telephone_number": "703-205-0423",
"fax_number": "703-992-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2188 AMBER MEADOWS DR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825320",
"telephone_number": "703-205-0423",
"fax_number": "703-992-6747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNU NARAYANAN PULLARKAT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-06",
"last_updated": "2011-04-05",
"status": "A",
"authorized_official_last_name": "PULLARKAT",
"authorized_official_first_name": "ANNU",
"authorized_official_middle_name": "NARAYANAN",
"authorized_official_title_or_position": "M.B.B.S/M.D",
"authorized_official_telephone_number": "703-205-0423",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.B.B.S/M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101243831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982843421",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.