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Individual

DR. KANAN D MANIAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER, FAIRFAX, VA 22033-3310
(703) 383-5400
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
0101247156
VA
207RR0500X
Rheumatology Physician
Primary
D0064700
MD

Other

Enumeration date
09/29/2006
Last updated
12/27/2011
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