Organization
LIFETIME INTERNAL MEDICINE, PLLC
Active
Organization
LIFETIME INTERNAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALINI GOYAL KANERIYA MD (PHYSICIAN, OWNER)
(703) 828-0799
Entity
Organization
Contact information
Practice address
2579 JOHN MILTON DR STE 300, HERNDON, VA 20171-2500
(703) 828-0799
(571) 525-2963
Mailing address
2579 JOHN MILTON DR STE 300, HERNDON, VA 20171-2500
(703) 828-0799
(571) 525-2963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/02/2019
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