Individual
LATHA NACHIMUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 GALLOWS ROAD, DEPARTMENT OF MEDICINE, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Mailing address
3300 GALLOWS ROAD, DEPARTMENT OF MEDICINE, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101244402
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124098967
—
VA
Enumeration date
01/24/2006
Last updated
09/19/2019
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