Gautam-Dhakal, Mukta

Gautam-Dhakal, Mukta is an individual health care provider with primary practice located at 12359 Sunrise Valley Dr Ste 320 , Reston VA 20191-3463. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gautam-Dhakal, Mukta can be contacted via phone (703) 596-4796.

Contact Information

Primary practice address
12359 Sunrise Valley Dr Ste 320 Reston VA 20191-3463
Phone: (703) 596-4796
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 26NJ00806800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024177376 Virginia

Profile Details

NPI number 1275034837
LBN Legal business name Gautam-Dhakal, Mukta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Feb 9th, 2021 - about 3 years 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.

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