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Individual

DR. PREYASHA TULADHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3918 CENTREVILLE RD, CHANTILLY, VA 20151-3224
(703) 657-6925
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101264423
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207Q00000X
FAMILY MEDICINE
VA
Enumeration date
06/06/2015
Last updated
06/24/2020
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