Provider Demographics
NPI:1912561564
Name:D'AGUILAR, SASHA-KAY ALICIA (MD)
Entity type:Individual
Prefix:
First Name:SASHA-KAY
Middle Name:ALICIA
Last Name:D'AGUILAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 CENTRAL PARK BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4940
Mailing Address - Country:US
Mailing Address - Phone:540-741-4257
Mailing Address - Fax:
Practice Address - Street 1:3806 MECHANICSVILLE TPKE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-1114
Practice Address - Country:US
Practice Address - Phone:804-228-1143
Practice Address - Fax:804-554-5386
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101276238207R00000X
ALL.4967R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine