Provider Demographics
NPI:1578655387
Name:DARIN, VISANEE ISARARAHANICH (MD)
Entity type:Individual
Prefix:DR
First Name:VISANEE
Middle Name:ISARARAHANICH
Last Name:DARIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VISANEE
Other - Middle Name:
Other - Last Name:ISARAPHANICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3998 FAIR RIDGE DRIVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033
Mailing Address - Country:US
Mailing Address - Phone:703-295-9360
Mailing Address - Fax:703-766-9725
Practice Address - Street 1:60 PROSPECT AVENUE
Practice Address - Street 2:ORANGE REGIONAL MEDICAL CENTER
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-343-6216
Practice Address - Fax:845-343-6228
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241904207L00000X
NY241504207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology