Provider Demographics
NPI:1861582660
Name:GOHARI, GEETI P (MD)
Entity type:Individual
Prefix:DR
First Name:GEETI
Middle Name:P
Last Name:GOHARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GUITI
Other - Middle Name:G
Other - Last Name:PARSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2735 S GROVE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2423
Mailing Address - Country:US
Mailing Address - Phone:703-299-9612
Mailing Address - Fax:703-578-1069
Practice Address - Street 1:1707 OSAGE STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-2607
Practice Address - Country:US
Practice Address - Phone:703-578-1070
Practice Address - Fax:703-578-1069
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation