Tirado, Sandra
Tirado, Sandra is an sole proprietor health care provider with primary practice located at 10530 Rosehaven St Ste 100 , Fairfax VA 22030-2888. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tirado, Sandra can be contacted via phone (703) 938-0363.Contact Information
Primary practice address
10530 Rosehaven St Ste 100
Fairfax VA 22030-2888
Phone: (703) 938-0363
Fax: (703) 938-8653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101038420 | Virginia |
Profile Details
| NPI number | 1154315570 |
|---|---|
| LBN Legal business name | Tirado, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jan 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154315570 | NPPES |
| Virginia | MEDICAID | 6071767 |
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