Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101245165 | VA |
Y | 111NI0900X | Internist | 0101245165 | VA |
N | 207R00000X | Internist | 46887 | CO |
N | 111NI0900X | Internist | 46887 | CO |
NPI | 1003071994 |
---|---|
Provider Name | Munira Dabhiya |
First Address | Leesburg, VA 20176-5101 |
Second Address | Leesburg, VA 20176-5101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 04/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11872012 | (05) | CO |