Individual
DR. IVAN PETER HARNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(571) 472-6431
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 308, FAIRFAX, VA 22033-1744
(703) 641-8427
(703) 641-8427
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101260550
VA
207RG0100X
Gastroenterology Physician
165250
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2010
Last updated
03/11/2024
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