Provider Demographics
NPI:1770626178
Name:MERCHIA, PANKAJ (MD)
Entity type:Individual
Prefix:
First Name:PANKAJ
Middle Name:
Last Name:MERCHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1048
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-9048
Mailing Address - Country:US
Mailing Address - Phone:703-348-7857
Mailing Address - Fax:703-444-4308
Practice Address - Street 1:1850 TOWN CENTER PKWY
Practice Address - Street 2:PAVILION SUITE 301
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3219
Practice Address - Country:US
Practice Address - Phone:703-348-7857
Practice Address - Fax:703-444-4308
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231063207RS0012X
VA0101244136207RS0012X
MDD0067961207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine