Individual
DR. CHIRAG MAUENDRA SANDESARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19450 DEERFIELD AVE STE 100, LEESBURG, VA 20176-6821
(571) 350-3668
(703) 729-2689
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101243405
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101243405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11059719
CAQH
VA
Enumeration date
09/23/2006
Last updated
07/21/2023
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