SHWETHA THUKUNTLA


Address: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031
Phone: 8775114625

SHWETHA THUKUNTLA (NPI# 1952563785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952563785
Entity Type Individual
Full Name SHWETHA THUKUNTLA
Credential M.D
Practice Address 2740 Prosperity Ave Ste 200
Fairfax
VA 22031
Mailing Address 2740 Prosperity Ave Ste 200
Fairfax
VA 22031-4354
Practice Telephone 8775114625
Practice Fax Number 7032049006
Mailing Telephone 8775114625
Enumeration Date 2008-07-02
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
P2383 TX Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
0101267551 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2660 Gulf Fwy S Ste 9, League City, TX 775736820 8325052300 2813370805
2740 Prosperity Ave Ste 200, Fairfax, VA 220314354 8775114625 7032049006

Office Location

Street Address 2740 PROSPERITY AVE STE 200
City FAIRFAX
State VA
Zip Code 22031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801845284 Yasser Hadj Ousman Internal Medicine 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2006-05-10
1801449657 Katherine Kline Dietitian, Registered 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2019-07-22
1801383617 James Wadell Brunson Jr. Counselor 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2018-04-17
1336642180 Nina Mesadieu Nurse Practitioner 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2018-03-16
1871004952 Jekaterina Tolstenko Nurse Practitioner 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2017-10-17
1306222120 Emily Viall Registered Nurse 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2015-08-04
1255738076 Prosperity Rx Fairfax Inc Pharmacy 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2014-11-21
1366844185 Sarah Kelly Dietitian, Registered 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2014-09-24
1164733879 Sarah Penland Social Worker 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2010-06-28
1184954539 Laura Leigh Wolok Dietitian, Registered 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2010-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811256381 Silpa P.k. Joshi Internal Medicine 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 2012-05-03
1316025372 Melissa Johnson Antonik Internal Medicine 3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 2006-11-01
1750394755 Roy William Langley Internal Medicine 3201 Jermantown Rd, Suite 250, Fairfax, VA 22030-2881 2006-08-14
1801845284 Yasser Hadj Ousman Internal Medicine 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 2006-05-10
1750380887 Hazel E Bowen-wright Internal Medicine 3022 Javier Rd, Suites 105g, Fairfax, VA 22031-4645 2005-07-20
1447258538 Nahrain H Alzubaidi Internal Medicine 4211 Fairfax Corner East Ave, Suite 230, Fairfax, VA 22030-8622 2005-07-12
1265850903 Samantha A. Diamond-rossi Internal Medicine 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2014-03-31
1356696082 Northern Virginia Endocrinologists Inc Internal Medicine 3201 Jermantown Rd, Suite 250, Fairfax, VA 22030-2881 2012-07-18
1003105875 Shivangi Vachhani Internal Medicine 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033-1745 2011-04-01
1801042791 Renu Sharaf Mansukhani Internal Medicine 3028 Javier Rd Ste 400, Fairfax, VA 22031-4622 2008-08-12
Find all providers in FAIRFAX

Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

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.

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