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Individual

PRACHI MADAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4660 KENMORE AVE, SUITE 810, ALEXANDRIA, VA 22304-1313
(703) 823-0333
(703) 823-8611
Mailing address
4660 KENMORE AVE, SUITE 810, ALEXANDRIA, VA 22304-1313
(703) 823-0333
(703) 823-8611

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110004949
VA

Other

Enumeration date
06/08/2015
Last updated
06/08/2015
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