MEDICARE: DR. JANICE G SADAYA-CONDA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101053232	VA

General Provider Information

NPI Number	:	1538161062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE G SADAYA-CONDA M.D.

Provider Business Mailing Address
First Line	:	6128 BRANDON AVE STE 225
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2640
Country	:	US
Telephone Number	:	703-936-9099
Fax Number	:	703-936-9074

Provider Business Practice Location Address
First Line	:	6128 BRANDON AVE STE 225
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2640
Country	:	US
Telephone Number	:	703-936-9099
Fax Number	:	703-936-9074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	04/19/2025

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