Individual
DR. SUJATA H. AMBARDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3289 WOODBURN RD, SUITE # 200, ANNANDALE, VA 22003-6800
(703) 560-7900
(703) 560-8408
Mailing address
3289 WOODBURN RD, SUITE # 200, ANNANDALE, VA 22003-6800
(703) 560-7900
(703) 560-8408
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101053019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5852544
—
VA
Enumeration date
05/19/2006
Last updated
02/13/2008
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