| Kumaresansankaran,md,pc | |
|
2812 Old Lee Hwy Ste 210b Fairfax VA 22031-4367 | |
| (703) 876-6131 | |
| Not Available |
| Full Name | Kumaresansankaran,md,pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2812 Old Lee Hwy Ste 210b, Fairfax, Virginia |
| Authorized Official Name and Position | Kumaresan Sankaran (OWNER) |
| Authorized Official Contact | 7038766131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kumaresansankaran,md,pc 2812 Old Lee Hwy Ste 210b Fairfax VA 22031-4367 Ph: (703) 876-6131 | Kumaresansankaran,md,pc 2812 Old Lee Hwy Ste 210b Fairfax VA 22031-4367 Ph: (703) 876-6131 |
| NPI Number | 1962045542 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962045542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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