Individual
DR. GUITA GHADIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 HUGUENOT RD, SUITE 309, NORTH CHESTERFIELD, VA 23235-4311
(804) 955-4864
Mailing address
PO BOX 693, MIDLOTHIAN, VA 23113-0693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD426805
PA
207RN0300X
Nephrology Physician
Primary
0101256855
VA
207RN0300X
Nephrology Physician
MD426805
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101322997
—
PA
05
—
1013229970001
—
PA
01
—
1545720
GATEWAY-WMG
PA
01
—
1744727
HIGHMARK BLUE SHIELD
PA
01
—
20082336
AMERIHEALTH MERCY-WMG
PA
01
—
226982
JOHNS HOPKINS
PA
01
—
259802
UNISON-WMG
PA
01
—
3625
GEISINGER HEALTH PLAN
PA
01
—
50082793
CAPITAL BLUE CROSS-WMG
PA
01
—
947471
CAREFIRST MD BCBS
PA
Enumeration date
08/23/2005
Last updated
06/07/2021
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