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Individual

NAVDEEP MATHUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8428 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8302
(571) 379-8827
(888) 224-4936
Mailing address
8428 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8302
(571) 379-8827
(888) 224-4936

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101240433
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1972892065
COPORATE NPI
VA
Enumeration date
06/20/2006
Last updated
04/22/2013
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