Provider Demographics
NPI:1457871808
Name:GATTANI, RAGHAV (MD)
Entity type:Individual
Prefix:DR
First Name:RAGHAV
Middle Name:
Last Name:GATTANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2700 DORR AVE APT 1107
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4959
Mailing Address - Country:US
Mailing Address - Phone:650-237-9097
Mailing Address - Fax:
Practice Address - Street 1:44035 RIVERSIDE PKWY STE 400
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8260
Practice Address - Country:US
Practice Address - Phone:703-858-5421
Practice Address - Fax:703-858-9573
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101284702207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology