Individual
PHETPAILIN AMARALIKIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 ELDEN ST, HERNDON, VA 20170-4511
(571) 353-1899
(888) 974-1477
Mailing address
420 ELDEN ST, HERNDON, VA 20170-4511
(571) 353-1899
(888) 974-1477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101244099
VA
Other
Enumeration date
05/10/2008
Last updated
05/18/2015
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