Nina Phatak MD

NPI 1093828147 - Specialist - 174400000X

NPI Details
NPI 1093828147
Gender Female
Enumeration Date 08/15/2006
Last Updated 10/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
8640 SUDLEY RD STE 201
MANASSAS VA, 20110-4404, US
Phone (703) 368-6819
Fax (703) 330-2923
Business Location
8640 SUDLEY RD STE 201
MANASSAS VA, 20110-4404, US
Phone (703) 368-6819
Fax (703) 330-2923
Toxanomy
Taxonomy Code 174400000X
License State Virginia
License Number 0101240340
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According to our database, Dr. Nina Phatak MD NPI is 1093828147, taxonomy code is 174400000X and license number is 0101240340, license state is located at Virginia. Nina Phatak MD physically located at 8640 Sudley Rd Ste 201, Manassas VA, 20110-4404. NPI Number Nina Phatak MD has the Individual type.

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1093828147 NPI number is provided on an as is basis without warranty of any kind. 1093828147 is maintained by the National Plan & Provider Enumeration System. The contents of Nina Phatak MD are for informational purposes only.