Individual
SOUJANYA BIRAGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15195 HEATHCOTE BLVD STE 140, HAYMARKET, VA 20169-6243
(571) 284-4370
(571) 284-4387
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 368-3161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101252966
VA
Other
Enumeration date
01/27/2010
Last updated
10/25/2020
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