Provider Demographics
NPI:1548361033
Name:GOWDA, MURLIYA D (MD)
Entity type:Individual
Prefix:DR
First Name:MURLIYA
Middle Name:D
Last Name:GOWDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11211 WAPLES MILL RD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7406
Mailing Address - Country:US
Mailing Address - Phone:703-246-9560
Mailing Address - Fax:
Practice Address - Street 1:11211 WAPLES MILL RD
Practice Address - Street 2:SUITE #200
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7406
Practice Address - Country:US
Practice Address - Phone:703-246-9560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VAMD0101240924207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease