Basic Information
| Provider Information | |||||||||
| NPI: | 1649207010 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAGDA | ||||||||
| FirstName: | SAMEER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2445 ARMY NAVY DR FL 4 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222062998 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038426500 | ||||||||
| FaxNumber: | 7037698486 | ||||||||
| Practice Location | |||||||||
| Address1: | 2445 ARMY NAVY DR FL 4 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038426500 | ||||||||
| FaxNumber: | 7037698486 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2006 | ||||||||
| LastUpdateDate: | 07/01/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 0101242777 | VA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0101242777 | 01 | VA | VA LICENSE | OTHER |