Individual
GITA HADDADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
337 WESTSIDE STATION DR, WINCHESTER, VA 22601-2840
(540) 667-5400
(540) 722-9516
Mailing address
337 WESTSIDE STATION DR, WINCHESTER, VA 22601-2840
(540) 667-5400
(540) 722-9516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101240183
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001909888
MOUNTAIN STATE BCBS
WV
05
—
1083703169
—
VA
01
—
249345
ANTHEM
VA
01
—
7518890
AETNA
VA
Enumeration date
10/12/2006
Last updated
04/30/2013
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