Individual
PRASANN VACHHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3299 WOODBURN RD STE 110, ANNANDALE, VA 22003-7310
(703) 698-4488
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101264582
VA
2085R0202X
Diagnostic Radiology Physician
25MA10511200
NJ
2085R0202X
Diagnostic Radiology Physician
D0082184
MD
Other
Enumeration date
05/22/2013
Last updated
05/05/2021
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