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Individual

DHRUV B PATEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 435-6604
(703) 787-6575
Mailing address
1860 TOWN CENTER DR, SUITE 300, RESTON, VA 20190-5896
(703) 435-6604
(703) 787-6575

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
45892
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
45892
CO
207XX0801X
Orthopaedic Trauma Physician
45892
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101243633
VIRGINIA LICENSE
VA
Enumeration date
09/20/2006
Last updated
07/31/2008
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