MR. SANDESH MOHAN (NPI# 1871113654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871113654 |
| Entity Type | Individual |
| Full Name | MR. SANDESH MOHAN |
| Practice Address |
21647 Stillbrook Farm Dr Broadlands VA 20148-3613 |
| Mailing Address |
722 E Market St Ste 102 Leesburg VA 20176-4475 |
| Practice Telephone | 7037270433 |
| Mailing Telephone | 7037270433 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472B0301X |
Technician, Other Specialization: Biomedical Engineering |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
21647 STILLBROOK FARM DR |
| City | BROADLANDS |
| State | VA |
| Zip Code | 20148-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447550 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 23684 Strickland Drive, Ashburn, VA 20148 | 2019-10-04 |
| 1932760196 | Gino Vc, Dds, Pllc | Clinic/Center | 22420 Flagstaff Plaza, Suite 150, Ashburn, VA 20148 | 2019-06-27 |
| 1396241907 | Shawnda Williams Saul | Speech-Language Pathologist | 2100 Education Court, Ashburn, VA 20148 | 2018-04-03 |
| 1558879973 | Gianfranco Acevedo | Non-emergency Medical Transport (VAN) | 22535 Welborne Manor Sq, Ashburn, VA 20148 | 2018-01-19 |
| 1255855797 | Juan Pablo Duran | Physical Therapist | 42365 Soave Dr Ste 200, Brambleton, VA 20148 | 2017-07-26 |
| 1972918670 | Ashley Passarelli | Speech-Language Pathologist | 21000 Education Ct., Ashburn, VA 20148 | 2014-06-23 |
| 1326396474 | Mary Elizabeth Creagh | Speech-Language Pathologist | 21000 Education Court, Ashburn, VA 20148 | 2012-08-21 |
| 1770838971 | Harris Teeter LLC | Pharmacy | 43315 Crandall Square, Ashburn, VA 20148 | 2012-07-13 |
| 1326308834 | Shilpa Arimanda | Physical Therapist | 43356 Barnstead Dr, Ashburn, VA 20148 | 2012-05-18 |
| 1760750988 | Minhhieu Nguyen | Pharmacist | 43776 Maison Blanc Square, Ashburn, VA 20148 | 2011-12-02 |
| Find all providers in zip 20148 | ||||
| Taxonomy Code | 2472B0301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | Biomedical Engineering |
| Definition to come... |
| City | BROADLANDS |
| Zip Code | 20148 |
Please comment or provide details below to improve the information on MR. SANDESH MOHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.