Individual
MANJULA SATHISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1902 BRAEBURN DR STE 130, SALEM, VA 24153-7304
(540) 444-0460
(540) 444-0479
Mailing address
41740 DAISY MEADOW DR, ASHBURN, VA 20148-1768
(601) 519-3681
(601) 968-0028
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101257309
VA
2084P0800X
Psychiatry Physician
685L
MS
2084P0804X
Child & Adolescent Psychiatry Physician
21982
MS
Other
Enumeration date
01/26/2008
Last updated
01/20/2020
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