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Individual

ALISAN G KULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7901 LAKE MANASSAS DR, GAINESVILLE, VA 20155-3257
(571) 222-2200
(571) 222-2202
Mailing address
7901 LAKE MANASSAS DR, GAINESVILLE, VA 20155-3257
(571) 222-2200
(571) 222-2202

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101840419
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0870-0013
BCBS NCA/CARE FIRST
VA
05
1003884081
VA
01
223803
KAISER
VA
01
284763
TRIGON/ANTHEM
VA
01
3000041
UNITED HEALTHCARE
VA
01
316256-269606
MAMSI/OP CHOICE/ALLIANCE
VA
01
500617-2214436
AETNA HMO
VA
01
500617-5975777
AETNA PPO
VA
01
504736
NCPPO
VA
01
541795091
PHCS PPO/POS
VA
01
8522674001
CIGNA POS/PPO
VA
01
8522674002
CIGNA HMO
VA
Enumeration date
03/08/2006
Last updated
12/13/2011
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