Provider Demographics
NPI:1811237324
Name:KAMAL, SANA ASIF (MD,MBBS)
Entity Type:Individual
Prefix:DR
First Name:SANA
Middle Name:ASIF
Last Name:KAMAL
Suffix:
Gender:F
Credentials:MD,MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 ALABAMA AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4540
Mailing Address - Country:US
Mailing Address - Phone:202-642-0280
Mailing Address - Fax:
Practice Address - Street 1:21335 SIGNAL HILL PLZ STE 270
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-5567
Practice Address - Country:US
Practice Address - Phone:703-682-2471
Practice Address - Fax:703-542-1744
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012594442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry