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Organization
PRINCE WILLIAM HOSPITAL
Active
Organization
PRINCE WILLIAM HOSPITAL
Active
Other names
Manassas Neonatal Associates, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTHARAMA KARANTH M.D. (MEDICAL DIRECTOR, NEONATOLOGY)
(703) 369-8134
Entity
Organization
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8134
Mailing address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8134
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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