Individual
DR. SURESH PURUSHOTTAM GHARSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 MONUMENT AVE, SUITE 'A', RICHMOND, VA 23230-3955
(804) 355-9975
(804) 355-9953
Mailing address
3900 MONUMENT AVE, SUITE 'A', RICHMOND, VA 23230-3955
(804) 355-9975
(804) 355-9953
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101028326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235022
ANTHEM PPO #
VA
Enumeration date
11/03/2006
Last updated
07/09/2007
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