Provider Demographics
NPI:1104932672
Name:NAVALKAR, SUSHANT RAM (MD)
Entity type:Individual
Prefix:MR
First Name:SUSHANT
Middle Name:RAM
Last Name:NAVALKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6078 FRANCONIA RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-4400
Mailing Address - Country:US
Mailing Address - Phone:703-921-0256
Mailing Address - Fax:703-921-0257
Practice Address - Street 1:6078 FRANCONIA RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-4400
Practice Address - Country:US
Practice Address - Phone:703-921-0256
Practice Address - Fax:703-921-0257
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2015-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101247587208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics