Bagla, Sandeep
Bagla, Sandeep is an individual health care provider with primary practice located at 2755 Hartland Rd Ste 110 , Falls Church VA 22043-3544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bagla, Sandeep can be contacted via phone (703) 783-5353.Contact Information
Primary practice address
2755 Hartland Rd Ste 110
Falls Church VA 22043-3544
Phone: (703) 783-5353
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101241063 | Virginia |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101241063 | Virginia |
Profile Details
NPI number | 1689718611 |
---|---|
LBN Legal business name | Bagla, Sandeep |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2007 |
Last updated | Jan 30th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689718611 | NPPES |
Virginia | MEDICAID | 1689718611 | |
Virginia | MEDICAID | 30015506150001 |
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