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Organization

EDWARD E GAHRES, MS, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD ELIAS GAHRES M.D. (OWNER)
(703) 931-7515
Entity
Organization

Contact information

Practice address
5021 SEMINARY RD, 109, ALEXANDRIA, VA 22311-1994
(703) 931-7515
(703) 931-9524
Mailing address
5021 SEMINARY RD, 109, ALEXANDRIA, VA 22311-1994
(703) 931-7515
(703) 931-9524

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101-013586
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015170
ANTHEM BCBS
VA
01
0700409
UNITED HEALTH CARE
01
10232085
AMERIGROUP
01
210847
MAMSI
01
79690002
BCBS
Enumeration date
12/12/2007
Last updated
02/19/2008
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