Individual
DR. HARISH SITARAM RUDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 400, FAIRFAX, VA 22031-4513
(703) 573-0504
(703) 573-4856
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102202353
VA
2080P0202X
Pediatric Cardiology Physician
Primary
0102202353
VA
2080P0202X
Pediatric Cardiology Physician
H68910
MD
Other
Enumeration date
08/15/2008
Last updated
04/26/2022
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