Individual
BHARATH DWARAKA NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 400, FAIRFAX, VA 22031-4513
(703) 560-2236
(571) 665-6834
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101265162
VA
2086S0120X
Pediatric Surgery Physician
Primary
0101265162
VA
Other
Enumeration date
07/29/2011
Last updated
05/27/2022
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