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Contact Information

SHRUTI NIKAM
4660 KENMORE AVE STE 400
ALEXANDRIA, VA22304-1306
 Phone: 703-751-1008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHRUTI NIKAM · (Female)

NPI Number 1679063606
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2018
Last updated 08/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 2305211857
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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