Individual
DR. MAMTA OJHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10805 MAIN ST STE 200, FAIRFAX, VA 22030-4729
(703) 651-5910
(833) 638-1747
Mailing address
10805 MAIN ST STE 200, FAIRFAX, VA 22030-4729
(703) 651-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101264275
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215220389
—
VA
Enumeration date
05/24/2011
Last updated
10/05/2025
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