Most Relevant Information
Provider Data
| NPI Number: | 1003020975 |
| Provider Name: | SOWJANYA BHAGAVATULA M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | NA |
Most Important Dates
| Enumeration Date: | 05/10/2007 |
| Last Updated: | 06/03/2021 |
Provider Practice Location
14139 POTOMAC MILLS RD
WOODBRIDGE
VA
221924644
Practice Location Phone/Fax
| Phone: | 7034908400 |
| Fax: |
Provider Mailing Location
14139 POTOMAC MILLS RD
WOODBRIDGE
VA
221924644
Provider Mailing Phone/Fax
| Phone: | 7034908400 |
| Fax: |
Suggested EMR
Internist EMR