Individual
MALAVIKA SANTHOSH BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 TOWN CENTER PKWY STE 310, RESTON, VA 20190-3300
(703) 570-5227
Mailing address
21902 KNOB HILL PL, ASHBURN, VA 20148-8033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
05/05/2026
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