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BHARATH DWARAKA NATH MD PHD NPI 1811275407


NPI Information

NPI: 1811275407
Provider Name: BHARATH DWARAKA NATH, MD PHD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA
ZIP 22031
Phone: (703) 560-2236
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Bharath Dwaraka Nath, MD PHD is a pediatric surgery surgery in Fairfax, VA with 13 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Bharath Dwaraka Nath, MD PHD NPI is 1811275407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2011

The provider's business location address is:

8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA
ZIP 22031-513
Phone: (703) 560-2236
Fax: (571) 665-6834

The NPI 1811275407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2011 and was last updated on 5/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery0101265162VIRGINIANo
22086S0120XSurgeryPediatric Surgery0101265162VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.