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Kumaresansankaran,md,pc
Primary Care Clinic/Center in Fairfax, Virginia
NPI 1962045542

Kumaresansankaran,md,pc is a Primary Care Clinic/Center based in Fairfax, VA and is specialized in Primary Care. Kumaresansankaran,md,pc practices in Fairfax, VA. The NPI Number for Kumaresansankaran,md,pc is 1962045542 and holds a License No. (Virginia).

The current practice location address for Kumaresansankaran,md,pc is 2812 Old Lee Hwy Ste 210B, Fairfax, VA and can be reached out via phone at 703-876-6131.

Location: 2812 Old Lee Hwy Ste 210B, Fairfax, VA, 22031-4367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962045542
Provider Name
Kumaresansankaran,md,pc
Credential
Provider Entity Type
Organization
Address
2812 Old Lee Hwy Ste 210B, Fairfax, VA, 22031-4367
Phone Number
703-876-6131
Fax Number
Provider Enumeration Date
10/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2812 Old Lee Hwy Ste 210B
City
Fairfax
State
Virginia
Zip
22031-4367
Phone Number
703-876-6131
Fax Number
person
Provider Business Mailing Address Details
Address
2812 Old Lee Hwy Ste 210B
City
Fairfax
State
Virginia
Zip
22031-4367
Phone Number
703-876-6131
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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