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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MYSORE VIJAYENDRA MAITRI, M.D

Active

Internal Medicine · ASHBURN, VA

Registration Details

NPI Number
1073697082
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2006 (19.491563001916 yrs)
Last Updated
Oct 24, 2021
Licenses
223454 (NY)
0101250502 (VA)

Practice Information

Address
22505 LANDMARK CT STE 210
ASHBURN, VA, 201486502
Browse VA providers · Browse ZIP 20148
Phone
5716126600
Fax
5716126601
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in ASHBURN, VA

Name Credential NPI
THOMAS JOHN MANCINI MD 1568456275
VIJAYA L SUNKARA M.D. 1871548255
DR. SUMITRA EASWARAN M.D. 1871535302
CHRISTOPHER P CONNOLLY M.D. 1790710721
MS. GRACE L. KEENAN M.D., CEO 1770518821
MARIA WASIQUE MD 1700811239
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.