Internal Medicine of Stafford

NPI #1972538817 in Stafford, Virginia

Provider Information

NPI Number: 1972538817
Entity Type: Organization
Organization Name: Internal Medicine of Stafford
Primary Specialty: Internal Medicine
Enumeration Date: Jul 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 422 GARRISONVILLE RD
Address 2: SUITE 108
City: Stafford
State: Virginia
ZIP Code: 22554-1573
Phone: (540) 658-9340

Authorized Official

Name: NIBEDITA MOHANTY, M.D.
Title: PHYSICIAN/OWNER
Phone: (540) 658-9340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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