Individual
SANJANA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
1410 N SCOTT ST APT 1048, ARLINGTON, VA 22209-2983
(612) 351-3468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA200001532
DC
363AS0400X
Surgical Physician Assistant
PA200001532
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019396600
—
DC
05
—
662401400
—
MD
Enumeration date
06/23/2022
Last updated
12/22/2022
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