Organization
SHRIHARSH POLE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRIHARSH L POLE M.D. (PRESIDENT)
(703) 497-4500
Entity
Organization
Contact information
Practice address
14904 JEFFERSON DAVIS HWY, SUITE 205, WOODBRIDGE, VA 22191-3908
(703) 497-4500
(703) 494-4671
Mailing address
14904 JEFFERSON DAVIS HWY, SUITE 205, WOODBRIDGE, VA 22191-3908
(703) 497-4500
(703) 494-4671
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101048251
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5836166
—
VA
01
—
C492
BCBS DC
DC
Enumeration date
07/12/2006
Last updated
11/30/2007
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