Individual
DR. RADHIKA GORANTLA SHARDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3219
(703) 698-9000
Mailing address
21785 FILIGREE CT STE 101, ASHBURN, VA 20147-6214
(703) 726-1201
(703) 858-7150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R7926
IA
2085R0202X
Diagnostic Radiology Physician
0101256979
VA
2085R0202X
Diagnostic Radiology Physician
25MA09036400
NJ
2085R0202X
Diagnostic Radiology Physician
263933-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
35099614
OH
2085R0202X
Diagnostic Radiology Physician
MD445083
PA
Other
Enumeration date
08/17/2006
Last updated
10/14/2014
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