Organization
THIARA GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASSER THIARA MD (OWNER)
(203) 673-9656
Entity
Organization
Contact information
Practice address
11464 ORCHARD LN, RESTON, VA 20190-4435
(203) 673-9656
Mailing address
11464 ORCHARD LN, RESTON, VA 20190-4435
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101250955
VA
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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