NPI 1104300359 · live from the CMS NPI Registry
Vineela Ayyagari
Podiatrist, Foot & Ankle Surgery in Manassas, VA. National Provider Identifier 1104300359, active.
NPI record
| NPI | 1104300359 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 9017 Fletcher Farm Ct, Manassas, VA 20112 |
| Practice phone | 703-398-7944 |
| Enumerated | September 23, 2018 |
| Last updated | September 23, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | LL9860 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.