Barry R. Maharaj, DDS & Anh H. Pham, DDS, PC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Lansdowne, VA
NPI 1093889008 · NPPES record last updated Aug 21, 2013
Key facts
- NPI
- 1093889008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 0401006304 (VA)
- Legal business name
- BARRY R. MAHARAJ, DDS & ANH H. PHAM, DDS, PC
- Practice address
- 19441 Golf Vista Plaza
Suite 130
Lansdowne, VA 20176 - Phone
- (703) 723-7858
- Fax
- (703) 723-7882
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Kaiti R Grim, CMOM
- Title
- Administrative Dirct
- Phone
- (703) 723-7858
Practitioners 3
-
Barry R Maharaj, DDS
-
Anh Huu Pham, DDS
-
Ayesha Nawab, DMD, MD
National Provider Directory
Locations
19441 Golf Vista Plz
Ste 130
Lansdowne, VA 20176
Phone (703) 723-7858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | |||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 0401006304 | VA | Yes |
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 0401410305 | VA | |
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 0401413171 | VA |
Addresses
Primary practice location
19441 Golf Vista Plaza
Suite 130
Lansdowne, VA 20176
Mailing address
19441 Golf Vista Plaza
Suite 130
Lansdowne, VA 20176
Phone (703) 723-7858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292375 | Other | MD | MAMSI OP CHOICE ALLIANCE |
| 384081 | Other | VA | BCBS |
| 008000531 | Medicaid | VA | |
| 455676 | Other | MD | MAMSI OP CHOICE ALLIANCE |
| 008000492 | Medicaid | VA | |
| 384338 | Other | VA | BCBS |
Other names
- Lansdowne Oral Surgery
Other providers in Lansdowne, VA
- Atiyeh Emam DDS PLLC
- Audiological Associates, Inc.
- Rajesh Balakrishnan
- Yaqub M. Baraki
- Marianne K Bardwell
- Kristen Lundberg Birkland
- Cierra Lasha' Blanding
- Blue Ridge Speech & Hearing Center of Loudoun County, Inc.
- Christine Borgelt
- Elaine P. Bourdeau
All providers in Lansdowne, VA · Oral and Maxillofacial Surgery (Dentist) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.