Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Excelsior Medicine PLLC

Organization Family Medicine Physician · NPI 1356254304

Excelsior Medicine PLLC provides Family Medicine Physician services in Reston, Virginia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12359 Sunrise Valley Dr Ste 260
Reston, VA 20191-3494
Phone: (571) 267-7204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356254304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raju Alluri — Owner · (703) 376-4777
NPI enumeratedSeptember 22, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026
Mailing address12359 Sunrise Valley Dr Ste 260, Reston, VA 20191-3494

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