Provider Demographics
NPI:1366572422
Name:OHRI'PARIKH, ANUJA (DMD)
Entity type:Individual
Prefix:MRS
First Name:ANUJA
Middle Name:
Last Name:OHRI'PARIKH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9359 BRAYMORE CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-3129
Mailing Address - Country:US
Mailing Address - Phone:703-444-5678
Mailing Address - Fax:703-444-5689
Practice Address - Street 1:20 PIDGEON HILL DR
Practice Address - Street 2:SUITE #204
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6154
Practice Address - Country:US
Practice Address - Phone:703-444-5678
Practice Address - Fax:703-444-5689
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0989806101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010548762OtherCORPORATE TAX ID#
VA098980610OtherLICENSE #