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Prem P. Manchanda Md, Pc
Primary Care Clinic/Center in Alexandria, Virginia
NPI 1548553068

Prem P. Manchanda Md, Pc is a Primary Care Clinic/Center based in Fairfax, VA and is specialized in Primary Care. Prem P. Manchanda Md, Pc practices in Alexandria, VA. The NPI Number for Prem P. Manchanda Md, Pc is 1548553068 and holds a License No. 0101057630 (Virginia).

The current practice location address for Prem P. Manchanda Md, Pc is 4660 Kenmore Ave, Alexandria, VA and can be reached out via phone at 703-981-4865.

Location: 4660 Kenmore Ave, Alexandria, VA, 22032-1021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548553068
Provider Name
Prem P. Manchanda Md, Pc
Credential
Provider Entity Type
Organization
Address
4660 Kenmore Ave, Alexandria, VA, 22032-1021
Phone Number
703-981-4865
Fax Number
Provider Enumeration Date
05/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4660 Kenmore Ave
City
Alexandria
State
Virginia
Zip
22304-1313
Phone Number
703-981-4865
Fax Number
person
Provider Business Mailing Address Details
Address
4660 Kenmore Ave
City
Alexandria
State
Virginia
Zip
22304-1313
Phone Number
703-981-4865
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
0101057630 (Virginia)
Definition
Definition to come...
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