Individual
DR. NIVEDITA MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 NORTH WASHINGTON STREET, FALLS CHURCH, VA 22046-4518
(703) 237-4020
(703) 536-1400
Mailing address
2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANE UNIT, KAISER PERMANENT MID ATLANTIC PERMANANETE METICAL GROUP, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101229818
VA
207Q00000X
Family Medicine Physician
D0056434
MD
Other
Enumeration date
11/16/2006
Last updated
02/04/2022
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