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
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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