Individual
DR. BHAVISHA MENEZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1890 METRO CENTER DR, RESTON, VA 20190-5286
(703) 709-1500
Mailing address
11580 CEDAR CHASE RD, HERNDON, VA 20170-2474
(917) 224-7432
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101245812
VA
207V00000X
Obstetrics & Gynecology Physician
D0069205
MD
207V00000X
Obstetrics & Gynecology Physician
MD038253
DC
Other
Enumeration date
07/08/2008
Last updated
05/27/2021
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