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Mrs. Diviyalaxmi Muruganandam, PA
Medical Physician Assistant in Herndon, Virginia
NPI 1114426392

Diviyalaxmi Muruganandam is a Medical Physician Assistant based in Tysons, VA and is specialized in Medical. Diviyalaxmi Muruganandam practices in Herndon, VA and has the professional credentials of PA. The NPI Number for Diviyalaxmi Muruganandam is 1114426392 and holds a License No. 0110006077 (Virginia).

The current practice location address for Diviyalaxmi Muruganandam is 381 Elden St Ste 1000, Herndon, VA and can be reached out via phone at 703-481-1505 and via fax at 703-742-8793.

Location: 381 Elden St Ste 1000, Herndon, VA, 22182-7561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114426392
Provider Name
Diviyalaxmi Muruganandam
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
381 Elden St Ste 1000, Herndon, VA, 22182-7561
Phone Number
703-481-1505
Fax Number
703-742-8793
Provider Enumeration Date
02/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0110006077 01 VA LICENSE
institution
Provider Business Practice Location Address Details
Address
381 Elden St Ste 1000
City
Herndon
State
Virginia
Zip
20170-4842
Phone Number
703-481-1505
Fax Number
703-742-8793
person
Provider Business Mailing Address Details
Address
381 Elden St Ste 1000
City
Herndon
State
Virginia
Zip
20170-4842
Phone Number
703-481-1505
Fax Number
703-742-8793
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0110006077 (Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0110006077 (Virginia)
Definition
Definition to come...
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