Individual
KUMARESAN SANKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2812 OLD LEE HWY STE 210B, FAIRFAX, VA 22031-4367
(703) 876-6131
(703) 876-6009
Mailing address
2812 OLD LEE HWY STE 210B, FAIRFAX, VA 22031-4367
(703) 876-6131
(703) 876-6009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057791
VA
Other
Enumeration date
10/05/2006
Last updated
06/05/2020
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