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General NPI Number Information
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NPI Number | 1649337767
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Entity Type | Individual
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Provider Name | MALARMATHI THANGAVEL ANBARASAN MD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 51 CATOCIN CIRCLE NE
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City | LEESBURG
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State | VA
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Zip | 20176
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Country | US
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Telephone | 703-777-9510
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Fax | 703-554-1101
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Provider Business Mailing Address
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Address Line | 19415 DEERFIELD AVE, SUITE 103
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City | LANSDOWNE
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State | VA
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Zip | 20176
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Country | US
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Telephone | 703-858-4900
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0059584
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101233048
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License Number State | VA
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