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Individual

DR. MELINDA SEBASTIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6000 STEVENSON AVE., SUITE 101, ALEXANDRIA, VA 22304
(703) 823-1735
(703) 823-1736
Mailing address
6000 STEVENSON AVE., SUITE 101, ALEXANDRIA, VA 22304
(703) 823-1735
(703) 823-1736

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101047893
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0735617
AETNA
VA
01
1014518
UNITED HEALTHCARE
VA
01
283453
ALLIANCE
VA
01
285383
ANTHEM
VA
01
288949
AMERIGROUP
VA
01
504719
NCPPO
VA
05
6709095
VA
01
883453
OPTM/MAMSI/MDIPA
VA
01
9185
CAREFIRST
VA
Enumeration date
09/26/2006
Last updated
07/08/2007
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