SANJEEV M. WASAN M.D. PLC NPI 1114198033

NPI Information

  • NPI: 1114198033
  • Provider Name: SANJEEV M. WASAN, M.D., PLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: GASTROENTEROLOGY AND HEPATOLOGY CENTER
  • Address: 46090 LAKE CENTER PLZ
    SUITE 201
    POTOMAC FALLS, VA
    ZIP 20165
  • Phone: (703) 444-9502

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NPI Details

SANJEEV M. WASAN, M.D., PLC is a specialist in Potomac Falls, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SANJEEV M. WASAN, M.D., PLC NPI is 1114198033. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gastroenterology And Hepatology Center.

The provider's business location address is:

46090 LAKE CENTER PLZ
SUITE 201
POTOMAC FALLS, VA
ZIP 20165-876
Phone: (703) 444-9502
Fax: (703) 444-9521

The provider's authorized official is Sanjeev M. Wasan .
The authorized official title is Owner and has the following contact phone number (703) 444-9502.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 11/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0101237806VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C10502MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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