Individual
DR. GURUTRANG SINGH KHALSA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
694 PINE ST, HERNDON, VA 20170-4600
(703) 481-9000
(703) 481-9003
Mailing address
1737 WHITEWOOD LN, HERNDON, VA 20170-2982
(703) 435-1424
(703) 481-9000
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
0104000299
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228089
BLUE CROSS BLUE SHIELD
VA
Enumeration date
12/10/2005
Last updated
07/09/2007
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