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Individual

MRS. HEMALATHA MUKHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8680 HOSPITAL WAY, MANASSAS, VA 20110-4287
(703) 369-8055
(703) 369-8565
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 369-8055
(703) 369-8565

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101241532
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101241532
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770563611
VA
Enumeration date
01/18/2006
Last updated
05/13/2015
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