Organization
PRINCE WILLIAM HOSPITAL
Active
Other names
Manassas Neonatal Associates, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTHARAMA KARANTH M.D. (MEDICAL DIRECTOR, NEONATOLOGY)
(703) 369-8134
Entity
Organization
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8134
Mailing address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8134
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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