VEDALAKSHMI CHANNAVAJJALA PRASAD DO
NPI 1043006265
Student in an Organized Health Care Education/Training Program in Falls Church, VA

Q: What is Vedalakshmi Prasad's NPI number?

The NPI number for Vedalakshmi Prasad is 1043006265. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Q: What is Vedalakshmi Prasad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 15, 2025PECOS Enrolled

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Vedalakshmi Channavajjala Prasad Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VEDALAKSHMI CHANNAVAJJALA PRASAD DO (NPI 1043006265) is an individual student in an organized health care education/training program in Falls Church, Virginia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043006265

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameVEDALAKSHMI CHANNAVAJJALA PRASADCredential: DO

Location Address3300 GALLOWS RDFalls Church, VA 22042-3307

Mailing AddressPo Box 604Mc Lean, VA 22101-0604

Phone(703) 776-4001

Sole ProprietorNo

Enumeration DateApril 15, 2025

Last NPPES UpdateJune 26, 2025

NPPES CertifiedJune 26, 2025

✔ NPI 1043006265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPediatricsTaxonomy 208000000X · License 0116040398 (VA)

3300 GALLOWS RD, Falls Church, VA 22042

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vedalakshmi Channavajjala Prasad Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON ELIZABETH TWEEDIE MD

Psychiatry & Neurology (Psychiatry)