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Individual

DR. KANTHA RAJYASHREE STOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5249 DUKE ST, 100D, ALEXANDRIA, VA 22304-2926
(703) 212-4825
(703) 212-4829
Mailing address
5249 DUKE ST, 100D, ALEXANDRIA, VA 22304-2926
(703) 212-4825
(703) 212-4829

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057481
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D10147191
VA
Enumeration date
06/16/2006
Last updated
01/07/2009
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