Individual provider · Type 1 NPI
Prachi Madan
Medical Physician Assistant · Alexandria, VA
NPI number
1619357308
Active
Practice location
4660 Kenmore Ave, Suite 810
Alexandria, VA 22304-1313
Fax (703) 823-8611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110004949 (VA) |
Medical Physician Assistant: Definition to come...
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About NPI 1619357308
Prachi Madan's National Provider Identifier is 1619357308, issued on Jun 8, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Alexandria, VA. The record was last updated on Jun 8, 2015.