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Individual

VIKRAM PRASANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(877) 415-4116
Mailing address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(877) 415-4116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101257865
VA
207R00000X
Internal Medicine Physician
MT192962
PA
207RC0000X
Cardiovascular Disease Physician
Primary
0101257865
VA

Other

Enumeration date
06/25/2008
Last updated
11/08/2021
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