Provider Demographics
NPI:1528276409
Name:AJMANI, SHEETAL (MD)
Entity type:Individual
Prefix:DR
First Name:SHEETAL
Middle Name:
Last Name:AJMANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHEETAL
Other - Middle Name:AJMANI
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10623 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-3433
Mailing Address - Country:US
Mailing Address - Phone:703-361-7131
Mailing Address - Fax:703-330-2065
Practice Address - Street 1:10623 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-3433
Practice Address - Country:US
Practice Address - Phone:703-361-7131
Practice Address - Fax:703-330-2065
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245195208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics