Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0101255671 | VA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD041888 | DC |
NPI | 1003105875 |
---|---|
Provider Name | Shivangi Vachhani |
First Address | Leesburg, VA 20176-2115 |
Second Address | Fairfax, VA 22033-1745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 20/09/2019 |