Individual
DEEPIKA KUNNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
950 S GEORGE MASON DR STE 107, ARLINGTON, VA 22204-1676
(703) 717-7311
(703) 717-7312
Mailing address
950 S GEORGE MASON DR STE 107, ARLINGTON, VA 22204-1676
(703) 717-7311
(703) 717-7312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102206506
VA
Other
Enumeration date
03/29/2018
Last updated
10/15/2021
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