Individual
HARESH MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0101252193
VA
207ZP0101X
Anatomic Pathology Physician
D0069883
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD439470
MD439470
PA
Enumeration date
04/02/2010
Last updated
05/05/2021
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