Individual provider · Type 1 NPI

Vedalakshmi Channavajjala Prasad, DO

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

NPI number 1043006265 Active

Practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Call (703) 776-4001 Map

Mailing address

PO Box 604
Mc Lean, VA 22101-0604

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X0116040398 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043006265

Vedalakshmi Channavajjala Prasad, DO's National Provider Identifier is 1043006265, issued on Apr 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Falls Church, VA. The record was last updated on Jun 26, 2025.