Individual
DR. SANDEEP BAGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2755 HARTLAND RD STE 110, FALLS CHURCH, VA 22043-3544
(703) 783-5353
Mailing address
2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 22191
(703) 783-5353
(703) 348-7677
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101241063
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101241063
VA
2085R0204X
Vascular & Interventional Radiology Physician
ME167210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689718611
—
VA
05
—
30015506150001
—
VA
Enumeration date
02/15/2007
Last updated
02/07/2026
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