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Organization
SANJEEV KOHLI, MD PC
Active
Organization
SANJEEV KOHLI, MD PC
Active
Other names
Beauregard Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANJEEV KOHLI M.D. (OWNER)
(703) 820-7000
Entity
Organization
Contact information
Practice address
3450 N BEAUREGARD ST, SUITE 1, ALEXANDRIA, VA 22302-1200
(703) 820-7000
(703) 820-5564
Mailing address
3450 N BEAUREGARD ST, SUITE 1, ALEXANDRIA, VA 22302-1200
(703) 820-7000
(703) 820-5564
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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