Healthcare Provider Details

I. General information

NPI: 1609813336
Provider Name (Legal Business Name): KALPANA V SAWANT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 12/11/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A.T.AUGUSTA MILITARY MEDICAL CENTER 9300 DEWITT LOOP, INT MED. CLINIC
FORT BELVOIR VA
22060
US

IV. Provider business mailing address

A.T.AUGUSTA MILITARY MEDICAL CENTER 9300 DEWITT LOOP, INT MED. CLINIC
FORT BELVOIR VA
22060
US

V. Phone/Fax

Practice location:
  • Phone: 571-231-1022
  • Fax: 571-231-6633
Mailing address:
  • Phone: 571-231-1022
  • Fax: 571-231-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number192024
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number010158526
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: