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Individual

DR. VISHAL MUNGAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3289 WOODBURN RD, ANNANDALE, VA 22003-6800
(703) 641-8616
(703) 641-9468
Mailing address
3289 WOODBURN RD STE 350, ANNANDALE, VA 22003-7357
(703) 641-8616
(703) 641-9468

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011-00523
NC
207RP1001X
Pulmonary Disease Physician
Primary
0101263145
VA
207RP1001X
Pulmonary Disease Physician
D0084467
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
852016000
MD
Enumeration date
06/14/2007
Last updated
08/11/2023
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