Subarna B Dharia, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101238011 Issued in VA

Practice address

12950 Highland Crossing Drive
Ste. H
Herndon, VA 20171

Phone

(703) 860-4200

Fax

(703) 860-1528

NPI assigned

Oct 18, 2005

Last updated

Jun 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Subarna Basu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1023007564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 HIGHLAND CROSSING DRIVE",
            "address_2": "STE. H",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "703-860-4200",
            "fax_number": "703-860-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 HIGHLAND CROSSING DRIVE",
            "address_2": "STE. H",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "703-860-4200",
            "fax_number": "703-860-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARIA",
        "first_name": "SUBARNA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101238011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010167311",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUBARNA",
            "last_name": "BASU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kevin Diep, DPM
• Erin E Dillaman, DPT

• Pediatrics Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.