Individual
DR. RATIH B SUDHARTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 N WASHINGTON ST, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
201 N WASHINGTON ST, FALLS CHURCH, VA 22046-4518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101246929
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1071992
WORKERS COMPENSATION
WV
05
—
3810009609
—
WV
01
—
550525724007
TRICARE CHAMPUS
WV
01
—
B682
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/14/2007
Last updated
03/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us