Individual
MAHESH M KOPPIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 CUP LEAF HOLLY CT, GREAT FALLS, VA 22066-1218
(703) 406-9794
Mailing address
1035 CUP LEAF HOLLY CT, GREAT FALLS, VA 22066-1218
(703) 406-9794
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13540
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123643000
—
WV
05
—
64033962
—
KY
Enumeration date
11/03/2006
Last updated
05/10/2026
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