Individual
DR. VENKATA SATYANAND MATTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1424 WOODHURST BLVD, MC LEAN, VA 22102-2233
(703) 597-3246
(703) 748-3406
Mailing address
1424 WOODHURST BLVD, MC LEAN, VA 22102-2233
(703) 597-3246
(703) 748-3406
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
0101041706
VA
207U00000X
Nuclear Medicine Physician
MD19915
DC
2084N0400X
Neurology Physician
Primary
0101041706
VA
2084N0400X
Neurology Physician
MD19915
DC
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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