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Individual

HARES BANUWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6178 OXON HILL RD STE 100, OXON HILL, MD 20745-3161
(301) 839-5555
(301) 839-1867
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618003161
VA
152W00000X
Optometrist
Primary
TA2676
MD
207W00000X
Ophthalmology Physician
0618003161
VA

Other

Enumeration date
06/13/2019
Last updated
11/02/2022
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