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Individual

GOPESH KUMAR SHARMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8303 ARLINGTON BLVD STE 203, FAIRFAX, VA 22031-2903
(703) 573-3177
(703) 573-3780
Mailing address
8303 ARLINGTON BLVD STE 203, FAIRFAX, VA 22031-2903
(703) 573-3177
(703) 573-3780

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101031013
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0360
CAREFIRST BLUE CROSS BLUE SHIELD
VA
01
202010595
CIGNA
VA
01
274366
ANTHEM
VA
01
4091828
AETNA
VA
Enumeration date
09/17/2006
Last updated
07/25/2008
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