Individual
ROMAN M KISHI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6303 LITTLE RIVER TPKE, # 300, ALEXANDRIA, VA 22312
(703) 914-8989
(703) 914-5494
Mailing address
5003 KING DAVID BLVD, ANNANDALE, VA 22003
(703) 426-4559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101055982
VA
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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