Individual
DR. KAVITA SHANTANU NAMJOSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1860 TOWN CENTER DR, STE 260, RESTON, VA 20190-5899
(775) 123-1234
(703) 997-2627
Mailing address
21882 HYDE PARK DR, ASHBURN, VA 20147-6911
(775) 848-8287
(703) 997-2627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101245322
VA
207R00000X
Internal Medicine Physician
047932
CT
207R00000X
Internal Medicine Physician
MD00045994
WA
208M00000X
Hospitalist Physician
047932
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016761
—
NV
Enumeration date
12/05/2005
Last updated
10/05/2020
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