Individual
NANDITA K AGHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
43135 BROADLANDS CENTER PLZ STE 123, BROADLANDS, VA 20148-3804
(571) 206-0742
(571) 206-0743
Mailing address
43135 BROADLANDS CENTER PLZ STE 123, BROADLANDS, VA 20148-3804
(571) 206-0742
(571) 206-0743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010299
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700618725
—
VA
05
—
30018032560001
—
VA
Enumeration date
08/19/2024
Last updated
04/03/2026
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