MS. Mysore Vijayendra Maitri, M.D

NPI #1073697082 in Ashburn, Virginia

Provider Information

NPI Number: 1073697082
Entity Type: Individual
Name: MS. Mysore Vijayendra Maitri, M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D
Enumeration Date: Oct 25, 2006
Last Updated: Oct 24, 2021

Practice Location

Address: 22505 LANDMARK CT STE 210
City: Ashburn
State: Virginia
ZIP Code: 20148-6502
Phone: (571) 612-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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