Organization
RHEUMATOLOGY AND INTERNAL MEDICINE, PC
Active
Other names
SHANMUGAM MUKUNDAN, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANMUGAM MUUKNDAN MD (MANAGING PARTNER)
(703) 349-1191
Entity
Organization
Contact information
Practice address
3930 WALNUT ST, SUITE 101, FAIRFAX, VA 22030-4738
(703) 349-1191
Mailing address
6969 W VILLA HERMOSA, GLENDALE, AZ 85310-5855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101229163
VA
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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