Individual provider · Type 1 NPI
Alex P. Pavidapha, MD
Vascular & Interventional Radiology Physician · Reston, VA
NPI number
1053799585
Active
Practice location
1801 Robert Fulton Drive, Suite 510
Reston, VA 20191-5481
Mailing address
224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704
Other practice locations
- 55 Lake Ave N, Worcester, MA 01655-0002 · (508) 334-3850
- 19500 Sandridge Way Ste 300, Leesburg, VA 20176-3690 · (703) 783-5355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101273549 (VA) |
| Diagnostic Radiology Physician | 2085R0202X | 287471 (MA) |
| Vascular & Interventional Radiology Physician | 2085R0204X | 287471 (MA) |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | 0101273549 (VA) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
3 other providers at this address
Other vascular & interventional radiology physician providers in Reston
About NPI 1053799585
Alex P. Pavidapha, MD's National Provider Identifier is 1053799585, issued on May 17, 2015. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Reston, VA. The record was last updated on Jun 3, 2024.