SearchVirginia363AM0700X

Diviyalaxmi Muruganandam, PA

NPI 1114426392 · on the registry since 2018

Practice

Address
381 Elden St Ste 1000
Herndon, VA 20170
Phone
(703) 481-1505
Fax
(703) 742-8793
Organisation at this address
Fairfax Family Practice Centers Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Additional practice sites

  • 9401 Lee Hwy Ste 400, Fairfax, VA

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
207Q00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia