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BARRY R. MAHARAJ DDS & ANH H. PHAM DDS PC NPI 1093889008


NPI Information

NPI: 1093889008
Provider Name: BARRY R. MAHARAJ, DDS & ANH H. PHAM, DDS, PC

Doing Business As: LANSDOWNE ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
19441 GOLF VISTA PLAZA
SUITE 130
LANSDOWNE, VA
ZIP 20176
Phone: (703) 723-7858
Get Directions

BARRY R. MAHARAJ, DDS & ANH H. PHAM, DDS, PC is an oral and maxillofacial surgery dentist in Lansdowne, VA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BARRY R. MAHARAJ, DDS & ANH H. PHAM, DDS, PC NPI is 1093889008. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lansdowne Oral Surgery.

The provider's business location address is:

19441 GOLF VISTA PLAZA
SUITE 130
LANSDOWNE, VA
ZIP 20176
Phone: (703) 723-7858
Fax: (703) 723-7882

The provider's authorized official is Kaiti R Grim .
The authorized official title is Administrative Dirct and has the following contact phone number (703) 723-7858.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/21/2013.


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
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223S0112XDentistOral and Maxillofacial Surgery0401410305VIRGINIANo
31223S0112XDentistOral and Maxillofacial Surgery0401413171VIRGINIANo
41223S0112XDentistOral and Maxillofacial Surgery0401006304VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008000492MEDICAIDVIRGINIA
2008000531MEDICAIDVIRGINIA
3384081OTHERVIRGINIABCBS
4455676OTHERMARYLANDMAMSI OP CHOICE ALLIANCE
5384338OTHERVIRGINIABCBS
6292375OTHERMARYLANDMAMSI OP CHOICE ALLIANCE

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

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