Srinagesh Paluvoi M.D.,FAAP., FACAAI.

doctor Dr. Paluvoi's practice focuses on patients with allergic conditions such as nasal allergies, asthma, food allergies, eczema, insect sting allergies, acute and chronic hives, chronic sinus problems and immunological disorders. Dr. Paluvoi graduated from a reputed medical university in India and then trained in pediatric health care in Jamaica and received Diploma in Child Health from University of West Indies in Kingston, Jamaica. After emigrating to USA he completed pediatric residency and fellowship in pediatric and adult Allergy & Immunology from Howard University Hospital, Washington, DC. Dr. Paluvoi is board certified in pediatrics, Pediatric and Adult Allergy & Immunology. Dr. Paluvoi's special interests include allergic asthma, food allergies and immune deficiencies. Dr. Paluvoi gave guest lectures at local hospitals grand rounds and round table conferences in his specialty. He has written several articles in local health journals regarding allergies.

Dr Paluvoi is a Fellow of American Academy of Pediatrics and a Fellow of American College of Allergy, Asthma & Immunology. He served as a CME Committee member of American College of Allergy, Asthma and Immunology. He is a member of local allergy societies and also a consultant for Loudoun Allergy Network. Dr. Paluvoi resides in Northern Virginia with his physician spouse and has two college going kids.


Nancy Twitchel, FNP, BC, MSN

Nancy has been an RN since 1981 and worked for 10 years at the Washington Hospital center on the Respiratory, Infectious Disease and Telemetry unit. She worked for 5 years in an Emergency Room as an RN and for 9 years in Internal Medicine practice. Nancy graduated from Marymount University as a Family Nurse Practitioner in 2003, and has worked for the past ten (10) years with a Government agency in an occupational health clinic. we are very happy to have Nancy with our practice.


Key members

Shelley DOffice/Billing Manager

Candace H (RN)

Karen H (RN)

Maria M (RN)

Rimpy K (MA)

Michelle H (MA)

Ann Marie M


In the News

Dr. SriNagesh Paluvoi on Fox News

Allergy and Asthma Affiliates specializes in diagnosing and treating conditions of nasal allergies, food allergies, asthma, chronic sinus problems, stinging insect allergies, medication allergies, chronic sinus problems, immune deficiencies in children and adults.

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10 Tips to Prevent Lyme Disease

Lyme Disease is on the rise in Northern Virginia and doctors say it is key to know how to prevent contraction.

Lyme Disease is caused by a bacteria infection transmitted to humans by black-legged ticks, according to the Centers for Disease Control.

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Dr Paluvoi WUSA TV Segment

Dr Paluvoi explains measures to make allergy season more bearable.

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Latest news in Allergy and Immunology.

  • Nicole Alvarez, physician assistant, has joined pediatric allergist, Srinagesh Paluvoi in the Gainesville office of Allergy and Asthma Affiliates.

    Alvarez is a native of Annapolis, Md. and earned her master's degree at Philadelphia University in the physician assistant program, with a background in ear. nose and throat, and pediatrics. She also studied in Barcelona, Spain, where she became fluent in Spanish. She regularly takes continuing education classes. When she's not in the office, she enjoys going to the beach with her husband, walking and spending time out doors.
  • Lyme disease is prevalent in Northern Virginia, and local immunologist Dr. Srinagesh Paluvoi cautions his patients to be aware of ticks when outdoors.

    “We see a lot more cases of tick bites and Lyme Disease in the summer, when more people have their skin exposed and are spending more time with outdoor activities,” said Paluvoi, who practices in Gainesville and Leesburg. “Prevention of Lyme disease is key, knowing what to look for, and more importantly, how to prevent the initial tick bite.”

    Paluvoi recommends these top 10 tips to help avoid tick bites:

    • Be cautious in places with lots of woods, forest, bushes and grass, especially from late spring to mid-summer when ticks are most active.
    • Wear extra protective clothing if hiking overgrown trails.
    • Wear light-colored clothes. This will make it easier to spot ticks.
    • Wear long sleeves, long pants and socks. Tuck in clothing, to include tucking socks into pants.
    • Use tick repellant. The Centers for Disease Control recommends using an insect repellent with at least 20-30 percent DEET on skin and clothing. Make sure that all exposed areas are treated, and repeat treatment as needed.
    • Check for ticks on your clothes before going indoors.
    • Wash and dry clothing using high heat levels.
    • Check your skin for ticks. Do a fully body check, including the groin, armpits and head. Use tweezers to remove any ticks you find.
    • Contact your physician after being bitten by a tick to see whether you should take an antibiotic for treatment.
    • Wash your hair, face, and hands as often as you can. Washing soon after exposure will help the ticks fall off quicker.
    If you have concerns about possible Lyme disease, seek medical advice from a physician.
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