Individual
SATYEN MANILAL GADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8136 OLD KEENE MILL RD STE A309, SPRINGFIELD, VA 22152-1853
(703) 569-8021
(703) 569-8123
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101235284
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780646497
—
VA
01
—
835708
MEDICARE PTAN
DC
Enumeration date
04/06/2006
Last updated
10/31/2023
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