Individual
DR. RENUKA SOTHINATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3930 WALNUT STREET, SUITE 101, FAIRFAX, VA 22030-4738
(703) 246-9246
(703) 246-9257
Mailing address
3930 WALNUT STREET, SUITE 101, FAIRFAX, VA 22030-4738
(703) 246-9246
(703) 246-9257
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101232750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005882842
—
VA
05
—
010084423
—
VA
05
—
010084440
—
VA
05
—
010084474
—
VA
05
—
010084482
—
VA
05
—
010084504
—
VA
05
—
010084512
—
VA
05
—
010084539
—
VA
05
—
010084598
—
VA
05
—
010084610
—
VA
05
—
010084628
—
VA
05
—
010084679
—
VA
05
—
010084792
—
VA
05
—
010084814
—
VA
05
—
010184886
—
VA
01
—
2319484
UNITED HEALTHCARE
—
01
—
4530480
CIGNA
—
01
—
47430005
CAREFIRST
—
Enumeration date
10/04/2006
Last updated
02/26/2013
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