Provider Demographics
NPI:1699079806
Name:MANN, RAJVINDER KAUR (MD)
Entity type:Individual
Prefix:MRS
First Name:RAJVINDER
Middle Name:KAUR
Last Name:MANN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14527 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-2817
Mailing Address - Country:US
Mailing Address - Phone:703-497-1234
Mailing Address - Fax:703-499-9988
Practice Address - Street 1:7598 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-3829
Practice Address - Country:US
Practice Address - Phone:703-778-0400
Practice Address - Fax:703-778-0444
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2016-01-20
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Provider Licenses
StateLicense IDTaxonomies
VA0101044287207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAE61508Medicare UPIN