Healthcare Provider Details

I. General information

NPI: 1114903846
Provider Name (Legal Business Name): ARUNA BORKAR MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 ELDEN ST SUITE 240
HERNDON VA
20170-4861
US

IV. Provider business mailing address

PO BOX 1769
MIDDLEBURG VA
20118-1769
US

V. Phone/Fax

Practice location:
  • Phone: 703-689-3737
  • Fax: 703-689-3889
Mailing address:
  • Phone: 540-687-8181
  • Fax: 540-687-8256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number2305004174
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: