Individual
MR. MUDIT SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9625 SURVEYOR COURT, SUITE 320, MANASSAS, VA 20110
(571) 921-4877
(571) 208-0585
Mailing address
9625 SURVEYOR COURT, SUITE 320, MANASSAS, VA 20110
(571) 921-4877
(571) 208-0585
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101241433
VA
207T00000X
Neurological Surgery Physician
MD035546
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101241433
MEDICAL LICENSE
VA
01
—
MD035546
MEDICAL LICENSE
DC
Enumeration date
11/28/2006
Last updated
05/27/2022
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