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1053755298
SUMAN DEEP MATIANA
MANASSAS, VA
NPI
1053755298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101260912)
Enumeration Date
2013-04-18
Last Update Date
2024-03-13
Business Address
Dr. SUMAN DEEP MATIANA M.D.
8700 SUDLEY RD
MANASSAS, VA 20110-4418
Phone number: 703-396-5292
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Mailing Address
Dr. SUMAN DEEP MATIANA M.D.
PO BOX 748613
ATLANTA, GA 30374-8613
Phone number: 434-295-1000
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