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Individual

DR. INDRA KANCITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1407 HUGUENOT RD, MIDLOTHIAN, VA 23113-2618
(804) 794-2299
(804) 794-5774
Mailing address
1407 HUGUENOT RD, MIDLOTHIAN, VA 23113-2618
(804) 794-2299
(804) 794-5774

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101102678
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6700675
VA
Enumeration date
09/07/2006
Last updated
01/10/2023
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