institution
Shriharsh Pole, Md Pc
Clinic/Center in Woodbridge, Virginia
NPI 1811922370

Shriharsh Pole, Md Pc is a Clinic/Center based in Woodbridge, VA. Shriharsh Pole, Md Pc practices in Woodbridge, VA. The NPI Number for Shriharsh Pole, Md Pc is 1811922370 and holds a License No. 0101048251 (Virginia).

The current practice location address for Shriharsh Pole, Md Pc is 14904 Jefferson Davis Hwy, Woodbridge, VA and can be reached out via phone at 703-497-4500 and via fax at 703-494-4671.

Location: 14904 Jefferson Davis Hwy, Woodbridge, VA, 22191-3908
institution
Provider Profile Details
NPI Number
1811922370
Provider Name
Shriharsh Pole, Md Pc
Credential
Provider Entity Type
Organization
Address
14904 Jefferson Davis Hwy, Woodbridge, VA, 22191-3908
Phone Number
703-497-4500
Fax Number
703-494-4671
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C492 01 DC BCBS DC
5836166 05 VA
institution
Provider Business Practice Location Address Details
Address
14904 Jefferson Davis Hwy
City
State
Zip
22191-3908
Phone Number
703-497-4500
Fax Number
703-494-4671
person
Provider Business Mailing Address Details
Address
14904 Jefferson Davis Hwy
City
State
Zip
22191-3908
Phone Number
703-497-4500
Fax Number
703-494-4671
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
0101048251 (Virginia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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