Provider Demographics
NPI:1376005538
Name:SARMA, APARNA
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:SARMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APARNA
Other - Middle Name:SARMA
Other - Last Name:IYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:42523 MAGELLAN SQ
Mailing Address - Street 2:
Mailing Address - City:BRAMBLETON
Mailing Address - State:VA
Mailing Address - Zip Code:20148-5610
Mailing Address - Country:US
Mailing Address - Phone:347-781-1890
Mailing Address - Fax:
Practice Address - Street 1:42523 MAGELLAN SQ
Practice Address - Street 2:
Practice Address - City:BRAMBLETON
Practice Address - State:VA
Practice Address - Zip Code:20148-5610
Practice Address - Country:US
Practice Address - Phone:347-781-1890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist