Malavika Santhosh Bhalla, PA-C
Physician Assistant in Reston, VA. Individual provider (NPI-1).
NPI number1063221208
StatusActive
Last updated in NPPESMay 5, 2026
Details
- NPI
- 1063221208
- Entity type
- Individual (NPI-1)
- Name
- Malavika Santhosh Bhalla
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2025
- Certification date
- May 5, 2026
- Last updated
- May 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1850 Town Center Pkwy Ste 310Reston, VA 20190-3300
Phone 703-570-5227
Mailing address
21902 Knob Hill PlAshburn, VA 20148-8033
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