Individual
SUPNA BHAGAT LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 203, FAIRFAX, VA 22033-1764
(877) 511-4625
(571) 665-6877
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101237047
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101237047
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-033
TRICARE/CHAMPUS
VA
01
—
10045657
SENTARA/OPTIMA HEALTH
VA
01
—
11891
BC/BS OF NORTH CAROLINA
NC
05
—
1558308502
—
VA
01
—
373539
ANTHEM BC/BS
VA
05
—
5911891
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
05/31/2006
Last updated
04/23/2026
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