Provider Demographics
NPI:1528079241
Name:DUA, ANURADHA PURI (MD)
Entity type:Individual
Prefix:DR
First Name:ANURADHA
Middle Name:PURI
Last Name:DUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6300 STEVENSON AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3554
Mailing Address - Country:US
Mailing Address - Phone:703-823-9570
Mailing Address - Fax:703-823-9573
Practice Address - Street 1:6300 STEVENSON AVE STE D
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3554
Practice Address - Country:US
Practice Address - Phone:703-823-9570
Practice Address - Fax:703-823-9573
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057825207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA409107Medicare PIN
VAH07529Medicare UPIN