Individual
DR. GEETHA DHINAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3129
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101058817
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101058817
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050073469
RAILROAD MEDICARE
VA
05
—
1740389691
—
VA
01
—
217098
ANTHEM
VA
01
—
493806
NCPPO
VA
01
—
K142-0001
CARE FIRST 2005
VA
Enumeration date
09/21/2006
Last updated
04/05/2016
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