Individual
NEERAJ BHUSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850A TOWN CENTER PKWY, SUITE 410, RESTON, VA 20190-5851
(703) 478-5350
(703) 435-3739
Mailing address
1850A TOWN CENTER PKWY, SUITE 410, RESTON, VA 20190-5851
(703) 478-5350
(703) 435-3739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101031520
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00006092454
—
VA
01
—
0001
CAREFIRST NCA
VA
01
—
246781
MAMSI
VA
01
—
3933
GHMSI
VA
01
—
49540
ANTHEM
VA
Enumeration date
10/25/2006
Last updated
09/30/2014
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