Individual
SUNITHA VENKATACHALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10340 DEMOCRACY LN STE 102, FAIRFAX, VA 22030-2518
(703) 218-2970
(703) 218-2965
Mailing address
10340 DEMOCRACY LN STE 102, FAIRFAX, VA 22030-2518
(703) 218-2970
(703) 218-2965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101239294
VA
Other
Enumeration date
08/16/2006
Last updated
11/27/2023
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