Dr. Vasantha Udugampola, M.D
Family Medicine in Falls Church, VA. Individual provider (NPI-1).
NPI number1861694978
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1861694978
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vasantha Udugampola
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2007
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101253793 | VA | Yes |
| 207Q00000X | Family Medicine | D0068811 | MD |
Practice location
502 W Broad St Ste 2Falls Church, VA 22046-3206
Phone 571-421-8431
Mailing address
5000 Cox RdGlen Allen, VA 23060-9263
Other practice locations
6502 Kenilworth Ave Ste 100
Riverdale, MD 20737-1372
Riverdale, MD 20737-1372
Phone 301-927-0088 · Fax 301-927-7239
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