Individual
DR. RIDDHI BIPIN KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(703) 289-7560
(703) 204-9001
Mailing address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(703) 289-7560
(703) 204-9001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102206194
VA
2084P0800X
Psychiatry Physician
OP60756882
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629310701
—
WA
01
—
8967547
MEDICARE PIN
WA
Enumeration date
03/26/2013
Last updated
09/03/2020
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