Provider Demographics
NPI:1477990968
Name:MAGAR, NISHANT SINGH (MD)
Entity type:Individual
Prefix:
First Name:NISHANT
Middle Name:SINGH
Last Name:MAGAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12011 ROUTE 50 STE 230
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3310
Mailing Address - Country:US
Mailing Address - Phone:703-222-0002
Mailing Address - Fax:703-222-9381
Practice Address - Street 1:12011 ROUTE 50 STE 230
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3310
Practice Address - Country:US
Practice Address - Phone:703-222-0002
Practice Address - Fax:703-222-9381
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101259947207R00000X
MDD81359207R00000X
DCMD044064207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine