Basic Information
| Provider Information | |||||||||
| NPI: | 1346656451 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DHARIA | ||||||||
| FirstName: | RAHIL | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 37174 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212973174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5714235699 | ||||||||
| FaxNumber: | 5714235698 | ||||||||
| Practice Location | |||||||||
| Address1: | 44055 RIVERSIDE PKWY STE 238 | ||||||||
| Address2: | |||||||||
| City: | LEESBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201765178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038588878 | ||||||||
| FaxNumber: | 7038588170 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2014 | ||||||||
| LastUpdateDate: | 07/13/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 5101021402 | MI | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 0102205952 | VA | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 0102205952 | VA | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care |
No ID Information.