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Individual

LISHAN KASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7000
Mailing address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101058868
VA

Other

Enumeration date
06/07/2007
Last updated
12/06/2023
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