Organization
VIRGINIA REPRODUCTIVE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADY I SHARARA MD (MEDICAL DIRECTOR)
(703) 437-7722
Entity
Organization
Contact information
Practice address
11150 SUNSET HILLS RD, SUITE 100, RESTON, VA 20190-5360
(703) 437-7722
(703) 437-0066
Mailing address
11150 SUNSET HILLS RD, SUITE 100, RESTON, VA 20190-5360
(703) 437-7722
(703) 437-0066
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239716
ANTHEM PROVIDER #
VA
Enumeration date
07/20/2006
Last updated
08/22/2020
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