Individual
SUDHA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2730-B PROSPERITY AVENUE, FAIRFAX, VA 22031
(703) 289-1400
(703) 289-1414
Mailing address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 289-1400
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101042238
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3653219
ECFMG
VA
05
—
6709401
—
VA
Enumeration date
08/01/2006
Last updated
07/08/2007
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