Individual
DR. MUKESH D. BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7430 HERITAGE VILLAGE PLZ UNIT 101, GAINESVILLE, VA 20155-3089
(703) 753-3338
(703) 753-7870
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0103300921
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326152976
—
VA
Enumeration date
08/19/2006
Last updated
12/12/2023
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