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Individual

DR. SAMEERA NASSER RENTIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5651 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2867
(703) 933-0740
(703) 933-0744
Mailing address
5651 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2867
(703) 933-0740
(703) 933-0744

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101057789
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
245309
BC/BS VA
VA
01
487964
NCPPO
VA
01
5947752
AETNA
VA
05
6734928
VA
01
899686
MAMSI
VA
01
F6790001
BC/BS DC
DC
Enumeration date
08/30/2005
Last updated
07/09/2007
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