Provider Demographics
NPI:1144526518
Name:GYNECOLOGY ASSOCIATES OF ALEXANDRIA PC
Entity type:Organization
Organization Name:GYNECOLOGY ASSOCIATES OF ALEXANDRIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLO GYNECOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LALITHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAMBHALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-739-8888
Mailing Address - Street 1:3131 MOUNT VERNON AVENUE,
Mailing Address - Street 2:4A/4B
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305
Mailing Address - Country:US
Mailing Address - Phone:703-739-8888
Mailing Address - Fax:703-519-8728
Practice Address - Street 1:3131 MOUNT VERNON AVE
Practice Address - Street 2:SUITE 4A/4B
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22305-2640
Practice Address - Country:US
Practice Address - Phone:703-739-8888
Practice Address - Fax:703-519-8728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty