Individual
DR. NITEESH BHARARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11800 SUNRISE VALLEY DR STE 600, RESTON, VA 20191
(703) 709-1114
(703) 709-6516
Mailing address
11800 SUNRISE VALLEY DR STE 600, RESTON, VA 20191-5327
(703) 709-1114
(703) 709-6516
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101254093
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
0101254093
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
0101254093
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
0101254093
VA
Other
Enumeration date
06/16/2008
Last updated
03/02/2022
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