NEERAJA CHARAGUNDLA MATTAY (NPI# 1891721502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891721502 |
| Entity Type | Individual |
| Full Name | NEERAJA CHARAGUNDLA MATTAY |
| Credential | M.D. |
| Practice Address |
13880 Braddock Rd 301 Centreville VA 20121-2459 |
| Mailing Address |
1424 Woodhurst Blvd Mc Lean VA 22102-2233 |
| Practice Telephone | 7032222773 |
| Practice Fax Number | 7032226093 |
| Mailing Telephone | 7037484613 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101047432 | VA | Other Service Providers |
| Street Address |
13880 BRADDOCK RD 301 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198480 | Shoshana Holstein Killian | Pediatrics | 13880 Braddock Rd, Suite 201, Centreville, VA 20121-2459 | 2005-07-17 |
| 1992246888 | Hyue Kyung Kwon, D.d.s., P.C. | Clinic/Center | 13880 Braddock Rd, Suite 101, Centreville, VA 20121-2459 | 2017-03-13 |
| 1508293937 | Cliff Chen | Dentist | 13880 Braddock Rd, Ste 109, Centreville, VA 20121-2459 | 2013-09-30 |
| 1992142335 | Turner Chiropractic Clinic of Centreville | Clinic/Center | 13880 Braddock Rd, Suite 106, Centreville, VA 20121-2459 | 2013-05-24 |
| 1639428840 | Piyush R Patel Md, PC | Internal Medicine | 13880 Braddock Rd, Suite 209, Centreville, VA 20121-2459 | 2012-09-04 |
| 1619260007 | Jessica Jabola | Obstetrics & Gynecology | 13880 Braddock Rd, Suite 307, Centreville, VA 20121-2459 | 2011-05-18 |
| 1427356849 | Linda Colette Coleman | Nurse Practitioner | 13880 Braddock Rd, # 209, Centreville, VA 20121-2459 | 2011-03-09 |
| 1407187107 | Jason Brown | Chiropractor | 13880 Braddock Rd, Suite 108, Centreville, VA 20121-2459 | 2010-01-19 |
| 1336380203 | Song Jin Sophie Kim | Physician Assistant | 13880 Braddock Rd, Suite 301, Centreville, VA 20121-2459 | 2009-03-23 |
| 1740431121 | Yulee Kim | Acupuncturist | 13880 Braddock Rd, Suite 105, Centreville, VA 20121-2459 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445875 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-10 |
| 1215397807 | Shiraz Kashani | Specialist | 15106 Olddale Rd, Centreville, VA 20120-1410 | 2016-02-25 |
| 1588038863 | Christina Ball | Specialist | 14476 Cool Oak Ln, Centreville, VA 20121-2236 | 2015-11-24 |
| 1679837439 | Shannon Noel Klee | Specialist | 6932 Hovingham Ct, Centreville, VA 20121-2544 | 2012-06-26 |
| 1366748634 | Northern Virginia Gastroenterology, PC | Specialist | 6211 Centreville Road, Suite 500, Centreville, VA 20121-2635 | 2011-02-04 |
| 1376782839 | Judith Ann Grandinetti | Specialist | 6007 Creekstone Ln, Centreville, VA 20120-3408 | 2009-02-06 |
| 1942481890 | Allergy and Asthma Care of The Chesapeake Pa | Specialist | 227 N Liberty St, Centreville, MD 21617-1022 | 2007-11-20 |
| 1891905907 | Susan Dahlstrom Lacroix | Specialist | 13890 Braddock Rd Ste 312, Centreville, VA 20121-2438 | 2007-05-23 |
| 1134245764 | Susan Rhodes Edwards | Specialist | 210 Black Duck Drive, Centreville, MD 21617-0000 | 2007-03-22 |
| 1487725784 | Neda Hashemi | Specialist | 14701 Lee Hwy Ste 303, Centreville, VA 20121-2135 | 2006-11-10 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
Please comment or provide details below to improve the information on NEERAJA CHARAGUNDLA MATTAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.