Sheeba Mohanan OD

NPI 1437337805 - Optometrist - 152W00000X

NPI Details
NPI 1437337805
Gender Male
Enumeration Date 02/07/2008
Last Updated 02/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
21031 TRIPLE SEVEN ROAD
#170
STERLING VA, 20165, US
Phone (703) 444-1462
Fax (703) 444-5627
Business Location
11103 WEST AVE
SUITE 6
SAN ANTONIO TX, 78213-1370, US
Phone (210) 524-6509
Fax (210) 524-6587
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618001690
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According to our database, Sheeba Mohanan OD NPI is 1437337805, taxonomy code is 152W00000X and license number is 0618001690, license state is located at Virginia. Sheeba Mohanan OD physically located at 21031 Triple Seven Road, Sterling VA, 20165. NPI Number Sheeba Mohanan OD has the Individual type.

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1437337805 NPI number is provided on an as is basis without warranty of any kind. 1437337805 is maintained by the National Plan & Provider Enumeration System. The contents of Sheeba Mohanan OD are for informational purposes only.