Whalio Doctors

NPI 1982735437

Susan E Mannan, MD

Practitioner Allergy & Immunology Physician Fairfax, VA

Practice location

Address
3903-A Fair Ridge Dr., Fairfax, VA 22033
Phone
(703) 648-0030
Fax
(703) 648-9028
Mailing address
3903-A Fair Ridge Drive, Fairfax, VA 22033

Registered specialties

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence C7-0003656 (DE)

Registry record

NPI
1982735437
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Mar 2007
Record last updated
24 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.