MEDICARE: MUKUND M MORJARIA MD

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	0101026499	VA

General Provider Information

NPI Number	:	1497703888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUKUND M MORJARIA MD

Provider Business Mailing Address
First Line	:	6408 D SEVEN CORNERS PLACE
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044
Country	:	US
Telephone Number	:	703-237-0800
Fax Number	:	703-237-7162

Provider Business Practice Location Address
First Line	:	6408 D SEVEN CORNERS PLACE
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044
Country	:	US
Telephone Number	:	703-237-0800
Fax Number	:	703-237-7162

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

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