Individual
DR. MANPREET MULTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 PARK ST SE STE 200, VIENNA, VA 22180-4626
(703) 938-7800
(703) 938-4541
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101260207
VA
207Q00000X
Family Medicine Physician
01066468A
IN
207Q00000X
Family Medicine Physician
L1162300
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200952450
—
IN
Enumeration date
02/28/2008
Last updated
12/15/2022
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