Dr. Michael S Bradish, MD
Anesthesiology in Reston, VA. Individual provider (NPI-1).
NPI number1588640882
StatusActive
Last updated in NPPESSep 30, 2020
Details
- NPI
- 1588640882
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael S Bradish
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2005
- Certification date
- Sep 30, 2020
- Last updated
- Sep 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 0101237801 | VA | Yes |
Practice location
1850 Town Center PkwyReston Hospital Center
Reston, VA 20190-3219
Phone 703-471-0919 · Fax 703-742-9081
Mailing address
Po Box 2757Reston, VA 20195-0757
Phone 703-471-0919 · Fax 703-742-9081
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