Individual
MS. ARCHANA SANGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2236C GALLOWS RD FL 2, VIENNA, VA 22182-5200
(703) 827-7008
Mailing address
2236C GALLOWS RD FL 2, VIENNA, VA 22182-5200
(703) 827-7008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004594
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110004594
VA
VA
Enumeration date
12/06/2010
Last updated
04/10/2020
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