Individual
SANDEEP MAGOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6160 KEMPSVILLE CIR, SUITE 302A, NORFOLK, VA 23502-3933
(757) 466-9288
(757) 457-3691
Mailing address
6160 KEMPSVILLE CIR, SUITE 302A, NORFOLK, VA 23502-3933
(757) 466-9288
(757) 457-3691
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101252004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962698720
—
VA
Enumeration date
09/14/2007
Last updated
09/05/2013
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