Virginia Board of Medicine Practitioner Information

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Ratih Bulan Tresna Sudharto, MD

LICENSE # 0101246929
 
Issue Date: 1/28/2010
Expiration Date: 11/30/2024
Status: Current Active


General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.


Primary Practice Address
Last Updated 10/30/2020
Annandale Family Medicine, P.C.
7617 Little River Turnpike
Suite 710
Annandale, VA 22003
Phone: 703-941-0267 ext 149
Fax: 703-941-2018

Location Details

  • Practitioner spends 100% of time at this location.
  • Days that practitioner sees patients at this location:
    Mon,Tue,Wed,Thur,Fri
  • Non-English Languages spoken in Office
    Indonesian
    Spanish
    Tagalog/Filipino

  • Non-English Languages spoken by Practitioner
    Indonesian

Years in Active Clinical Practice
Last Updated 10/30/2020
Years in Active Clinical Practice Inside US/Canada: 10
Medicaid
Last Updated 10/30/2020
Does Not Participate in the Virginia Medicaid program
Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 10/30/2020
Is a Medicare participating provider
Virginia Hospital Affiliations
Last Updated 10/30/2020
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 10/30/2020