Individual provider · Type 1 NPI

Elixabeth Laskurain Sullivan, MD

Nephrology Physician · Fairfax, VA

NPI number 1194112235 Active

Practice location

3930 Walnut St Ste 101
Fairfax, VA 22030-4750

Call (703) 246-9246 Map

Fax (703) 246-9257

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X0101268835 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nephrology Physician Primary 207RN0300X0101268835 (VA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1194112235

Elixabeth Laskurain Sullivan, MD's National Provider Identifier is 1194112235, issued on Apr 15, 2015. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Fairfax, VA. The record was last updated on May 29, 2024.