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Individual

SUGANTHI RAJAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9715 LIBERIA AVE, MANASSAS, VA 20110-5837
(571) 229-1797
(571) 229-1798
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700
(804) 217-7991

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101251913
VA
207Q00000X
Family Medicine Physician
23288
WV

Other

Enumeration date
06/27/2007
Last updated
04/06/2022
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