Organization
KUMARESANSANKARAN,MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMARESAN SANKARAN MD (OWNER)
(703) 876-6131
Entity
Organization
Contact information
Practice address
2812 OLD LEE HWY STE 210B, FAIRFAX, VA 22031-4367
(703) 876-6131
Mailing address
2812 OLD LEE HWY STE 210B, FAIRFAX, VA 22031-4367
(703) 876-6131
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
06/05/2020
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