Individual
PRIYADARSHAN K. TULSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9430 FORESTWOOD LN, 100, MANASSAS, VA 20110-4753
(703) 365-0227
(703) 365-0332
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101237322
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010128234
—
VA
01
—
2399249
UNITED HEALTHCARE
VA
01
—
5625017
FIRST HEALTH/CCN
VA
01
—
7015450
AETNA PROVIDER NUMBER
VA
01
—
708975
NCPPO
VA
01
—
8132829
MAMSI
VA
01
—
B337-0003
CARE FIRST BLUE CROSS
VA
Enumeration date
05/12/2006
Last updated
02/24/2023
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