1366572422 NPI number — MRS. ANUJA OHRI'PARIKH D.M.D.

Table of content: MRS. ANUJA OHRI'PARIKH D.M.D. (NPI 1366572422)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366572422 NPI number — MRS. ANUJA OHRI'PARIKH D.M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OHRI'PARIKH
Provider First Name:
ANUJA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
D.M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366572422
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9359 BRAYMORE CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRFAX STATION
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22039-3129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-444-5678
Provider Business Mailing Address Fax Number:
703-444-5689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 PIDGEON HILL DR
Provider Second Line Business Practice Location Address:
SUITE #204
Provider Business Practice Location Address City Name:
STERLING
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20165-6154
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-444-5678
Provider Business Practice Location Address Fax Number:
703-444-5689
Provider Enumeration Date:
03/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  098980610 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010548762 . This is a "CORPORATE TAX ID#" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 098980610 . This is a "LICENSE #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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