Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0101235941 | VA |
N | 207U00000X | Nuclear Medicine Specialist | MD037532 | DC |
NPI | 1225016033 |
---|---|
Provider Name | Dr. Kalpna Prasad |
First Address | Falls Church, VA 22043-2953 |
Second Address | Falls Church, VA 22043-2953 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 28/10/2010 |