Individual
DR. SANG HO NA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 SAM PERRY BLVD, SUITE 211, FREDERICKSBURG, VA 22401-4467
(540) 372-7792
(504) 372-2073
Mailing address
PO BOX 845, FREDERICKSBURG, VA 22404-0845
(540) 372-7792
(540) 372-2073
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101250747
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0057593
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687804100
—
MD
Enumeration date
09/28/2005
Last updated
09/24/2013
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