Doctor Name: | POOJA DHANANJAYAN |
NPI Number: | 1497982789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0116021905 |
Business Practice Address: | 13880 Braddock Rd Suite #201 Centreville, VA - 201212459 |
Business Phone Number: | 7038026304 |
Business Fax Number: | 7038026307 |
Mailing Address: | 13880 Braddock Rd, Suite #201 CENTREVILLE |
State: | VA |
Postal Code: | 201212459 |
Phone Number: | 7038026304 |
Fax Number: | 7038026307 |
NPI Enumeration Date: | 06/15/2009 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116021905 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |