Individual
TEJAL DHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15050 HEATHCOTE BLVD, HAYMARKET, VA 20169-6251
(703) 359-7878
Mailing address
768 BONNIE RIDGE DR NE, LEESBURG, VA 20176-3677
(860) 922-6314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0079811
MD
Other
Enumeration date
07/03/2011
Last updated
06/14/2021
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