Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vienna Medical Group PLLC

Organization Internal Medicine Physician · NPI 1467374884

Vienna Medical Group PLLC is an Internal Medicine Physician in Vienna, 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

301 Maple Ave W Ste 420
Vienna, VA 22180-4301
Phone: (978) 265-6436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1467374884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sivaram Yamajala — Sole Mbr · (978) 265-6436
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address301 Maple Ave W Ste 420, Vienna, VA 22180-4301

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