Provider Demographics
NPI:1821302175
Name:LADHA, ALIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALIYA
Middle Name:
Last Name:LADHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4287
Mailing Address - Country:US
Mailing Address - Phone:703-940-3364
Mailing Address - Fax:703-717-4055
Practice Address - Street 1:700 S WASHINGTON ST STE 300
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4287
Practice Address - Country:US
Practice Address - Phone:703-940-3364
Practice Address - Fax:703-717-4055
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096856207V00000X
PAMD452297207V00000X
VA0101264831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology