Individual
DR. RICHARD KENNETH SALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 JOSEPH SIEWICK DRIVE, STE 209, FAIRFAX, VA 22033
(703) 758-2664
(703) 758-2668
Mailing address
3700 JOSEPH SIEWICK DRIVE, STE 209, FAIRFAX, VA 22033
(703) 758-2664
(703) 758-2668
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101039446
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045913001
CIGNA
—
05
—
005806194
—
VA
05
—
00A549I59
—
VA
01
—
2579781
AETNA HMO
—
01
—
258946
TRIGON
—
01
—
318574
MAMSI
—
01
—
4304915
AETNA
—
01
—
440003391
RAILROAD MEDICARE
—
01
—
9200044
UNITED HEALTHCARE
—
Enumeration date
05/25/2006
Last updated
12/29/2011
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