Individual provider · Type 1 NPI

Jeevitha Prativadi, MD

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

NPI number 1265236731 Active

Practice location

825 Fairfax Ave Ste 445
Norfolk, VA 23507-1914

Call (757) 446-8920 Map

Fax (757) 446-5242

Mailing address

PO Box 1980
Norfolk, VA 23501-1980

Specialties and licenses

TaxonomyCodeLicense
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 1265236731

Jeevitha Prativadi, MD's National Provider Identifier is 1265236731, issued on Apr 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Apr 3, 2025.