Organization
RHEUMATOLOGY AND INTERNAL MEDICINE, PC
Active
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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