Dr Ratih B Sudharto, MD | |
201 N Washington St, Falls Church, VA 22046-4518 | |
(703) 237-4000 | |
Not Available |
Full Name | Dr Ratih B Sudharto |
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Gender | Female |
Speciality | Family Medicine |
Location | 201 N Washington St, Falls Church, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679788392 | NPI | - | NPPES |
550525724007 | Other | WV | TRICARE CHAMPUS |
3810009609 | Medicaid | WV | |
B682 | Other | BLUE CROSS BLUE SHIELD | |
1071992 | Other | WV | WORKERS COMPENSATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101246929 (Virginia) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
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Dr Ratih B Sudharto, MD 201 N Washington St, Falls Church, VA 22046-4518 Ph: () - | Dr Ratih B Sudharto, MD 201 N Washington St, Falls Church, VA 22046-4518 Ph: (703) 237-4000 |
Henry S. Willner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2900 Telestar Ct, Falls Church, VA 22042 Phone: 703-396-6194 Fax: 703-779-1372 | |
Cecilia I Martinez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5860 Columbia Pike Ste 105, Falls Church, VA 22041 Phone: 703-348-9110 Fax: 703-888-3848 | |
Ms. Jaime Lee Murray, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3564 Fax: 703-776-2338 | |
Dr. Kristin Mckinley Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6196 Arlington Blvd, Falls Church, VA 22044 Phone: 703-237-3446 | |
Dr. Quang Truc Tran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7297 Lee Highway, Suite E, Falls Church, VA 22042 Phone: 703-538-6248 Fax: 702-538-6403 | |
Dr. Andrea Marie Schmieg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 N Washington St, Suite 104, Falls Church, VA 22046 Phone: 703-237-7707 Fax: 703-241-1261 | |
Audrey Kim Lenze, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S Maple Ave Ste 200, Falls Church, VA 22046 Phone: 703-532-5436 Fax: 703-532-3232 |