Shriharsh Pole, MD PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0101048251 Issued in VA

Legal business name

SHRIHARSH POLE, MD PC

Practice address

14904 Jefferson Davis Hwy
Suite 205
Woodbridge, VA 22191-3908

Phone

(703) 497-4500

Fax

(703) 494-4671

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shriharsh L Pole, M.D.

Title

President

Phone

(703) 497-4500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1811922370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 205",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-497-4500",
            "fax_number": "703-494-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 205",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-497-4500",
            "fax_number": "703-494-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIHARSH POLE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "POLE",
        "authorized_official_first_name": "SHRIHARSH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-497-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101048251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "C492",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5836166",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurence S Shindelman
• Owolabi Adebayo Shonuga, M.D.
• Elena Short
• Thomas Ryan Short, LPTA, LMT
• Sabita Shrestha
• Leslie Marie Shubat, APRN
• Susan H. Shuster, L.C.S.W., C.S.A.C.
• Sierra Counseling Services, LLC
• Sierra Systems, Inc.
• Robert A Sikora Jr., M.D.

• Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.