Individual
LEENA KOSANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 934-5700
(703) 934-5839
Mailing address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 934-5700
(703) 934-5839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0069166
MD
Other
Enumeration date
01/12/2009
Last updated
06/23/2021
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