Organization
INTERNAL MEDICINE OF STAFFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIBEDITA MOHANTY M.D. (PHYSICIAN/OWNER)
(540) 658-9340
Entity
Organization
Contact information
Practice address
422 GARRISONVILLE RD, SUITE 108, STAFFORD, VA 22554-1573
(540) 658-9340
(540) 658-9344
Mailing address
422 GARRISONVILLE RD, SUITE 108, STAFFORD, VA 22554-1573
(540) 658-9340
(540) 658-9344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101045978
VA
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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