Provider Demographics
NPI:1427547306
Name:POKHAREL, SUREKHA
Entity Type:Individual
Prefix:
First Name:SUREKHA
Middle Name:
Last Name:POKHAREL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 BRAXTON WOOD CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1336
Mailing Address - Country:US
Mailing Address - Phone:571-318-0618
Mailing Address - Fax:
Practice Address - Street 1:3001 BRAXTON WOOD CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-1336
Practice Address - Country:US
Practice Address - Phone:571-318-0618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-06
Last Update Date:2018-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist