Doherty, Mark Gerard
Doherty, Mark Gerard is an individual health care provider with primary practice located at 1625 N George Mason Dr Suite 475, Arlington VA 22205-3683. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Doherty, Mark Gerard can be contacted via phone (703) 717-4000.Contact Information
Primary practice address
1625 N George Mason Dr Suite 475
Arlington VA 22205-3683
Phone: (703) 717-4000
Fax: (703) 717-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 48014 | Tennessee |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 48014 | Tennessee |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | H4087 | Texas |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | H4087 | Texas |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD60066893 | Washington |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | MD 60066893 | Washington |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 0101257128 | Virginia |
Profile Details
| NPI number | 1467423871 |
|---|---|
| LBN Legal business name | Doherty, Mark Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Apr 16th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467423871 | NPPES |
| Texas | MEDICAID | 136867209 | |
| Texas | Other | G8884737 | |
| Texas | Other | 48014 | |
| Texas | Other | 8R1427 | |
| Texas | MEDICAID | 136867505 | |
| Texas | MEDICAID | 1467423871 | |
| Texas | MEDICAID | 100000460A | |
| Texas | MEDICAID | 136867213 | |
| Texas | Other | H4087 | |
| Texas | MEDICAID | 136867216 |
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