Individual
SARA KULANGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 GALLOWS RD STE 110, VIENNA, VA 22182-4098
(703) 281-1265
(703) 255-0571
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101055548
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031737700
—
DC
01
—
060062645
RAILROAD MEDICARE VA #
VA
05
—
1487658464
—
VA
05
—
189518400
—
MD
01
—
770001354
RAILROAD MEDICARE DC #
DC
Enumeration date
06/08/2005
Last updated
08/23/2024
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