49D0708075 CLIA NUMBER - SUCHITHRA A NANCHERLA MD

Laboratory Demographics

CLIA Number: 49D0708075

Facility Name: SUCHITHRA A NANCHERLA MD

Facility Address:
103 WEST BROAD STREET, SUITE 120
FALLS CHURCH, VA
ZIP 22046
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Facility Phone Number: 703 534-6002

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851312995

Taxonomy: 207RE0101X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	49D0708075
LAB Type	Physician Office
Facility Name	SUCHITHRA A NANCHERLA MD
Street	103 WEST BROAD STREET, SUITE 120
City	FALLS CHURCH
State	VA
ZIP	22046
Phone	703 534-6002
CertificateType	4
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024