Provider Demographics
NPI:1356366264
Name:SAHETA, DARLENE NARAYAN (DPM)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:NARAYAN
Last Name:SAHETA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9918 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3901
Mailing Address - Country:US
Mailing Address - Phone:703-273-9818
Mailing Address - Fax:866-453-6775
Practice Address - Street 1:9918 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3901
Practice Address - Country:US
Practice Address - Phone:703-273-9818
Practice Address - Fax:866-453-6775
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01598213ES0103X
VA0103301179213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery