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General NPI Number Information
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NPI Number | 1548478712
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Entity Type | Individual
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Provider Name | RINKU MEHRA SANDESARA MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8229 BOONE BLVD STE 760
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City | VIENNA
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State | VA
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Zip | 22182-2635
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Country | US
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Telephone | 703-940-0635
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Fax | 844-670-9161
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Provider Business Mailing Address
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Address Line | 8229 BOONE BLVD STE 760
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City | VIENNA
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State | VA
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Zip | 22182-2635
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Country | US
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Telephone | 703-940-0635
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Fax | 844-670-9161
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 0101243156
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35623
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | D0067447
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | MD037198
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License Number State | DC
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