Organization
DMV SPINE AND PAIN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV BHATIA (OWNER)
(703) 719-8583
Entity
Organization
Contact information
Practice address
46090 LAKE CENTER PLZ STE 102, STERLING, VA 20165-5877
(703) 435-6604
Mailing address
46090 LAKE CENTER PLZ STE 102, STERLING, VA 20165-5877
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101253566
VA LICENSE
VA
Enumeration date
01/04/2022
Last updated
07/11/2025
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