Individual
DR. AIZENHAWAR J MARROGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6736 CURRAN STREET, SUITE 2, MCLEAN, VA 22101-3803
(703) 372-0787
(703) 712-7169
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101231650
VA
171000000X
Military Health Care Provider
D0053886
MD
207ZD0900X
Dermatopathology (Pathology) Physician
0101231650
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101231650
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346262441
—
VA
Enumeration date
07/25/2006
Last updated
12/13/2023
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