MEDICARE: SANJEEV KOHLI, MD PC

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	0101-056380	VA

General Provider Information

NPI Number	:	1578584512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANJEEV KOHLI, MD PC

Provider Business Mailing Address
First Line	:	4216 KING ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1507
Country	:	US
Telephone Number	:	703-820-7000
Fax Number	:	703-931-0059

Provider Business Practice Location Address
First Line	:	4216 KING ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1507
Country	:	US
Telephone Number	:	703-820-7000
Fax Number	:	703-931-0059

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SANJEEV KOHLI
Credential	:	MD
Telephone Number	:	703-820-7000

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	05/12/2026

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