Individual
MEERA GORADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 689-9000
Mailing address
1209 WINTER HUNT RD, MC LEAN, VA 22102-2433
(718) 344-7872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
229165
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02442982
—
NY
Enumeration date
06/27/2005
Last updated
11/18/2020
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