Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Prem Manchanda, MD

Individual provider Internal Medicine Physician · NPI 1063578060

Dr. Prem Manchanda, MD is an Internal Medicine Physician in Fairfax, Virginia. Licensed in Maryland and Virginia. Registered with an NPI since 2006.

Licensed in
MD, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4100 Orchard Dr
Fairfax, VA 22032-1021
Phone: (703) 981-4865
Fax: (804) 414-7762
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101057630 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence D54095 (MD)

Record details

NPI number1063578060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESNovember 27, 2023
Certification dateOctober 16, 2020
Mailing address4660 Kenmore Ave, Suiye 220, Alexandria, VA 22304-1313

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