Archana Sangha, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110004594 Issued in VA

Practice address

2236C Gallows Rd FL 2
Vienna, VA 22182-5200

Phone

(703) 827-7008

NPI assigned

Dec 6, 2010

Last updated

Apr 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anne Arundel Dermatology, PA

  • Dermatology Physician
  • Vienna, VA
  • NPI 1235958794
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Sanjiv K. Saini M.D.,LLC

  • Specialist
  • Lexington Park, MD
  • NPI 1710020995
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1790088227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236C GALLOWS RD FL 2",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825200",
            "telephone_number": "703-827-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236C GALLOWS RD FL 2",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825200",
            "telephone_number": "703-827-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3168 Braverton St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "MD",
            "postal_code": "210372680",
            "country_code": "US",
            "telephone_number": "410-956-7777",
            "fax_number": "410-956-7186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGHA",
        "first_name": "ARCHANA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "0110004594",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phone",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2236C Gallows Rd Fl 2",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221825200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samir Khouri, MD PC
• Cindy Sample, PHD
• Ardalan Sanati, DDS
• Rinku Mehra Sandesara, MD
• Brook Jennifer Sandler
• Divya R Sankepally, DDS
• Abbaa Sarhan, M.D.
• Ali Sarshar
• Susan Sasner, RNP
• Reid Welch Saunders, L.AC.

• Physician Assistant in Vienna, VA
• Providers in Vienna, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.