Individual
DR. ANIL THOMAS MALIYEKKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 420, LEESBURG, VA 20176-3467
(571) 375-8601
(571) 223-6773
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57-014651
OH
2085R0202X
Diagnostic Radiology Physician
Primary
0101259857
VA
2085R0202X
Diagnostic Radiology Physician
57-014651
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881838456
—
VA
Enumeration date
04/27/2009
Last updated
11/29/2022
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