Provider Demographics
NPI:1891865473
Name:SAKSENA, SHUBHRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHUBHRA
Middle Name:
Last Name:SAKSENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13135 LEE JACKSON MEMORIAL HWY
Mailing Address - Street 2:STE 202
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13135 LEE JACKSON MEMORIAL HWY
Practice Address - Street 2:STE 202
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1907
Practice Address - Country:US
Practice Address - Phone:703-385-6789
Practice Address - Fax:703-352-9409
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101233251207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH70315Medicare UPIN