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Search › Virginia › 103G00000X

Mirjana Ivanisevic, PHD

NPI 1326770603 · on the registry since 2022 · sole proprietor

Practice

Address
3300 Gallows Rd
Falls Church, VA 22042
Phone
(678) 697-7240
Organisation at this address
Pulmmed Llc
Pccmed, Llc
Inova Fairfax
Wan Shin Md Pc
Outpatient Rx Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,667

Registry record

Primary taxonomy
103G00000X
103G00000X
Also registered as
103TC0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-09

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