Individual
ANITA NANDA WASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19450 DEERFIELD AVE, SUITE 335, LANSDOWNE, VA 20176-6820
(703) 729-8933
(703) 729-5996
Mailing address
8115 OLD DOMINION DR, STE 220, MC LEAN, VA 22102-2324
(703) 992-7065
(703) 992-7063
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101237864
VA
Other
Enumeration date
10/20/2006
Last updated
09/24/2016
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