Individual
DR. KHODAIDAD H BASHARMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47100 COMMUNITY PLZ, SUITE 100, STERLING, VA 20164-1826
(804) 968-5700
(804) 217-7991
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101231457
VA
Other
Enumeration date
01/12/2006
Last updated
02/11/2021
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