Individual
DR. SADAT BA IFAN KASANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
1215 LEE ST BOX 800546, CHARLOTTESVILLE, VA 22908-8016
(434) 924-5219
(434) 244-7509
Mailing address
1215 LEE ST BOX 800546, CHARLOTTESVILLE, VA 22908-8016
(434) 924-5219
(434) 244-7509
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116040269
VA
Other
Enumeration date
03/18/2022
Last updated
06/29/2025
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