SHWETHA THUKUNTLA (NPI# 1952563785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| 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 |
| Street Address |
2740 PROSPERITY AVE STE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| 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. |
| 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 | ||||
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| 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.