Individual
BALIKA PAUDEL GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 SUDLEY RD STE 105&204, MANASSAS, VA 20110-8321
(703) 393-8883
(866) 765-1362
Mailing address
4932 LONGMIRE WAY, CHANTILLY, VA 20151-2543
(703) 393-8883
(866) 765-1362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024194853
VA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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