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Dr. Narayan Dharel, MD, PhD

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Specializes in: Adult Gastroenterology

Tribhuvan University Institute of Medicine (2001)

1031 Care Way
Fredericksburg, VA 22401

(540) 371-7600

Dr. Narayan Dharel, MD, PhD is a gastroenterologist in Fredericksburg, VA specializing in adult gastroenterology. He graduated from Tribhuvan University Institute of Medicine in 2001 and has 25 years of experience. Dr. Narayan Dharel, MD, PhD is affiliated with Mary Washington Healthcare, GASTROENTEROLOGY ASSOCIATES OF FREDERICKSBURG PC, Mary Washington Gastroenterology, Stafford and Mary Washington Gastroenterology, Fredericksburg.

Office Locations

1031 Care Way
Fredericksburg, VA 22401

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125 Hospital Center Boulevard #309
Stafford, VA 22554

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Noteworthy Medicare Patient Procedures Performed by Dr. Narayan Dharel, MD, PhD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

FibroScan

liver elastography

liver imaging

In 2023, Dr. Narayan Dharel, MD, PhD had a list price for FibroScan (transient elastography), liver elastography, and liver imaging that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Virginia. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

EGD with biopsy

EGD with lesion removal

In 2023, Dr. Narayan Dharel, MD, PhD performed more EGD with biopsy, and EGD with lesion removal procedures for Medicare patients than 90% of providers in related specialties within Virginia.

Top 25%

By Volume:

colonoscopy

colonoscopy with biopsy

colonoscopy with lesion removal

EGD with esophageal dilation

endoscopy

FibroScan

gastrointestinal biopsy

gastrointestinal procedures

removal of lesion

By Affordability:

balloon dilation

diagnostic EGD

diagnostic upper endoscopy

EGD with biopsy

EGD with dilation

EGD with esophageal dilation

EGD with lesion removal

endoscopic esophageal dilation

esophageal balloon dilation

esophageal dilation

esophagogastroduodenoscopy

therapeutic EGD

therapeutic upper endoscopy

upper endoscopy

upper endoscopy with biopsy

upper endoscopy with dilation

upper endoscopy with esophageal dilation

upper endoscopy with lesion removal

In 2013, among providers in related specialties within Virginia, Dr. Narayan Dharel, MD, PhD performed more colonoscopy, colonoscopy with biopsy, colonoscopy with lesion removal, EGD with esophageal dilation, endoscopy, FibroScan (transient elastography), gastrointestinal biopsy, gastrointestinal procedures, and removal of lesion (e.g. growth) procedures for Medicare patients than 75% of them and he also had a list price for balloon dilation, diagnostic EGD, diagnostic upper endoscopy, EGD with biopsy, EGD with dilation, EGD with esophageal dilation, EGD with lesion removal, endoscopic esophageal dilation, esophageal balloon dilation, esophageal dilation, esophagogastroduodenoscopy (EGD), therapeutic EGD, therapeutic upper endoscopy, upper endoscopy, upper endoscopy with biopsy, upper endoscopy with dilation, upper endoscopy with esophageal dilation, and upper endoscopy with lesion removal that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2013 were hospital care and inpatient care.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

hospital care	154
inpatient care	154

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	42
Female	62

**Ethnicity**
Non-Hispanic White	64
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	25
From 75 to 84	24
85 and over	30
Less than 65	25

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2013

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2013 were hypertension, ischemic heart disease, high cholesterol and chronic kidney disease.

Hypertension	75
High Cholesterol	61
Stroke	23
Ischemic Heart Disease	62
Depression	44
Chronic Kidney Disease	60
Asthma	17
Osteoperosis	16
Atrial Fibrilation	23
Heart Failure	52
Chronic Obstructive Pulmonary Disease	33
Diabetes	57
Dementia	29
Cancer	23

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2014 were hospital care and inpatient care.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

hospital care	16
inpatient care	16

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2014

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2014 were hypertension and high cholesterol.

Hypertension	75
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2015 were hospital care, inpatient care, minimally invasive procedures and gastrointestinal procedures.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

diagnostic procedures	122
doctor visit	158
gastrointestinal procedures	138
hospital care	291
inpatient care	291
minimally invasive procedures	138
removal of lesion (e.g. growth)	122

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	262
Female	274

**Ethnicity**
Non-Hispanic White	428
Black	84
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	206
From 75 to 84	150
85 and over	78
Less than 65	102

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2015

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2015 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	73
Stroke	8
Ischemic Heart Disease	51
Depression	37
Chronic Kidney Disease	48
Asthma	23
Osteoperosis	5
Atrial Fibrilation	25
Heart Failure	34
Chronic Obstructive Pulmonary Disease	28
Diabetes	44
Dementia	19
Cancer	13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2016 were minimally invasive procedures, gastrointestinal procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

diagnostic procedures	356
doctor visit	520
esophageal dilation	32
gastrointestinal procedures	448
hospital care	403
inpatient care	403
minimally invasive procedures	448
preventive care	46
removal of lesion (e.g. growth)	356

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	266
Female	291

**Ethnicity**
Non-Hispanic White	444
Black	93
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	246
From 75 to 84	137
85 and over	79
Less than 65	95

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2016

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2016 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	72
Stroke	10
Ischemic Heart Disease	47
Depression	30
Chronic Kidney Disease	43
Asthma	26
Osteoperosis	6
Atrial Fibrilation	20
Heart Failure	28
Chronic Obstructive Pulmonary Disease	24
Diabetes	41
Dementia	22
Cancer	15

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2017 were gastrointestinal procedures, minimally invasive procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

balloon dilation	16
diagnostic procedures	350
doctor visit	589
esophageal dilation	37
gastrointestinal procedures	466
hospital care	208
inpatient care	208
minimally invasive procedures	420
preventive care	33
removal of lesion (e.g. growth)	350

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	233
Female	248

**Ethnicity**
Non-Hispanic White	361
Black	92
Hispanic	11
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	209
From 75 to 84	127
85 and over	52
Less than 65	93

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2017

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2017 were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	75
High Cholesterol	64
Stroke	7
Ischemic Heart Disease	45
Depression	30
Chronic Kidney Disease	43
Asthma	10
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	26
Chronic Obstructive Pulmonary Disease	21
Diabetes	43
Dementia	14
Cancer	15

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2018 were gastrointestinal procedures, minimally invasive procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

balloon dilation	22
diagnostic procedures	469
doctor visit	602
esophageal dilation	54
gastrointestinal procedures	632
hospital care	146
injections	11
inpatient care	146
liver imaging	237
minimally invasive procedures	586
preventive care	52
removal of lesion (e.g. growth)	469
ultrasound (sonogram)	237

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	294
Female	405

**Ethnicity**
Non-Hispanic White	536
Black	118
Hispanic	12
Asian	20
Other	0
Native American	0

**Age**
From 65 to 74	355
From 75 to 84	164
85 and over	50
Less than 65	130

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2018

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2018 were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	75
High Cholesterol	69
Stroke	6
Ischemic Heart Disease	38
Depression	30
Chronic Kidney Disease	40
Asthma	13
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	17
Chronic Obstructive Pulmonary Disease	18
Diabetes	40
Dementia	10
Cancer	15

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2019 were gastrointestinal procedures, minimally invasive procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

balloon dilation	17
diagnostic procedures	466
doctor visit	560
esophageal dilation	54
gastrointestinal procedures	609
hospital care	185
inpatient care	185
liver imaging	252
minimally invasive procedures	573
preventive care	39
removal of lesion (e.g. growth)	466
ultrasound (sonogram)	252

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	331
Female	445

**Ethnicity**
Non-Hispanic White	619
Black	107
Hispanic	17
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	427
From 75 to 84	186
85 and over	49
Less than 65	114

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2019

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2019 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	41
Depression	32
Chronic Kidney Disease	40
Asthma	12
Osteoperosis	7
Atrial Fibrilation	13
Heart Failure	21
Chronic Obstructive Pulmonary Disease	20
Diabetes	41
Dementia	10
Cancer	15

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2020 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

balloon dilation	11
diagnostic procedures	413
doctor visit	428
esophageal dilation	44
gastrointestinal procedures	494
hospital care	262
inpatient care	262
liver imaging	70
minimally invasive procedures	507
preventive care	26
removal of lesion (e.g. growth)	413
ultrasound (sonogram)	70

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	284
Female	364

**Ethnicity**
Non-Hispanic White	525
Black	89
Hispanic	0
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	321
From 75 to 84	196
85 and over	55
Less than 65	76

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2020

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2020 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	74
Stroke	7
Ischemic Heart Disease	45
Depression	29
Chronic Kidney Disease	41
Asthma	11
Osteoperosis	8
Atrial Fibrilation	17
Heart Failure	26
Chronic Obstructive Pulmonary Disease	22
Diabetes	42
Dementia	11
Cancer	17

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2021 were gastrointestinal procedures, minimally invasive procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

diagnostic procedures	428
doctor visit	397
esophageal dilation	44
gastrointestinal procedures	564
hospital care	140
inpatient care	140
liver imaging	81
minimally invasive procedures	524
preventive care	40
removal of lesion (e.g. growth)	428
ultrasound (sonogram)	81

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	273
Female	322

**Ethnicity**
Non-Hispanic White	461
Black	99
Hispanic	0
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	310
From 75 to 84	181
85 and over	39
Less than 65	65

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2021

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2021 were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	75
High Cholesterol	73
Stroke	6
Ischemic Heart Disease	38
Depression	22
Chronic Kidney Disease	39
Asthma	8
Osteoperosis	5
Atrial Fibrilation	14
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	40
Dementia	9
Cancer	12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2022 were gastrointestinal procedures, minimally invasive procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

diagnostic procedures	339
doctor visit	348
esophageal dilation	20
gastrointestinal procedures	432
hospital care	157
inpatient care	157
liver imaging	83
minimally invasive procedures	404
preventive care	34
removal of lesion (e.g. growth)	339
ultrasound (sonogram)	83

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	241
Female	322

**Ethnicity**
Non-Hispanic White	438
Black	85
Hispanic	0
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	299
From 75 to 84	166
85 and over	39
Less than 65	59

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2022

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2022 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	35
Depression	23
Chronic Kidney Disease	26
Asthma	15
Osteoperosis	11
Atrial Fibrilation	28
Heart Failure	21
Chronic Obstructive Pulmonary Disease	24
Diabetes	36
Dementia	6
Cancer	15

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA during 2023 were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

balloon dilation	11
diagnostic procedures	429
doctor visit	331
esophageal dilation	50
gastrointestinal procedures	524
hospital care	142
inpatient care	142
liver imaging	41
minimally invasive procedures	524
preventive care	45
removal of lesion (e.g. growth)	429
ultrasound (sonogram)	41

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Male	247
Female	319

**Ethnicity**
Non-Hispanic White	435
Black	78
Hispanic	0
Asian	0
Other	23
Native American	0

**Age**
From 65 to 74	319
From 75 to 84	171
85 and over	33
Less than 65	43

Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD in 2023

The most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated during 2023 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	34
Depression	21
Chronic Kidney Disease	24
Asthma	13
Osteoperosis	11
Atrial Fibrilation	22
Heart Failure	19
Chronic Obstructive Pulmonary Disease	22
Diabetes	38
Dementia	8
Cancer	16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2023

Volume of procedures performed by Dr. Narayan Dharel, MD, PhD for Medicare patients.

The highest averages for the top procedures that Dr. Narayan Dharel, MD, PhD treated as a gastroenterologist in Fredericksburg, VA were gastrointestinal procedures, minimally invasive procedures, removal of lesion (e.g. growth) and diagnostic procedures.

balloon dilation	15
diagnostic procedures	374
doctor visit	437
esophageal dilation	41
gastrointestinal procedures	478
hospital care	191
injections	11
inpatient care	191
liver imaging	127
minimally invasive procedures	458
preventive care	39
removal of lesion (e.g. growth)	374
ultrasound (sonogram)	127

Average Medicare Patient Data From 2013 - 2023

Information about Medicare patients treated by Dr. Narayan Dharel, MD, PhD.

**Gender**
Female	277
Male	224

**Ethnicity**
Black / African American	76
Asian / Pacific Islander	1
Non-Hispanic White	391
Hispanic	3
Native American / Alaskan Native	0
Other	8

**Age**
85 and over	45
75 to 84	136
Less than 65	72
65 to 74	247

Average of Total of Conditions of Medicare patients treated by Dr. Narayan Dharel, MD, PhD From 2013 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Narayan Dharel, MD, PhD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	70
Stroke	8
Ischemic Heart Disease	39
Depression	27
Chronic Kidney Disease	36
Asthma	13
Osteoporosis	7
Heart Failure	24
Chronic Obstructive Pulmonary Disease	20
Diabetes	38
Atrial Fibrillation	17
Cancer	14
Dementia	12

Education & Training

Dr. Narayan Dharel, MD, PhD graduated from Tribhuvan University Institute of Medicine in 2001. He completed residency at Wyckoff Heights Medical Center. He has a state license in Massachusetts.

Medical School: Tribhuvan University Institute of Medicine (2001)

Residency: Wyckoff Heights Medical Center

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. Narayan Dharel, MD, PhD is associated with these hospitals and organizations:

Mary Washington Healthcare

GASTROENTEROLOGY ASSOCIATES OF FREDERICKSBURG PC

Mary Washington Gastroenterology, Stafford

Mary Washington Gastroenterology, Fredericksburg

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Narayan Dharel, MD, PhD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Gilead Sciences, Inc.	$30,084 Epclusa $26,742	$3,343
Gilead Sciences Inc	$7,513 Vosevi $4,620	Epclusa $2,615	$279
AbbVie Inc.	$1,906 Humira $697	Skyrizi $400	Creon $319	LINZESS $207	Rinvoq $204	Other $78
AbbVie, Inc.	$1,433 Humira $616	Creon $311	Mavyret $175	Lupron $97	$235
Echosens North America, Inc.	$1,116 Fibroscan $1,116
Other	$6,644 ENTYVIO $736	XIFAXAN $569	LINZESS $380	GATTEX $323	SUCRAID $261	Other $4,376

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$32,999
Food and Beverage	$11,379
Travel and Lodging	$3,880
Education	$383
Gift	$57

Research Payments

Dr. Narayan Dharel, MD, PhD has received 13 research payments totaling $13,794.

Biography

Dr. Narayan Dharel practices adult gastroenterology. He attended medical school at Tribhuvan University Institute of Medicine. Dr. Dharel's training includes a residency program at Wyckoff Heights Medical Center. Dr. Dharel (or staff) is conversant in Hindi. He is professionally affiliated with Mary Washington Healthcare. According to Mary Washington Healthcare, new patients are welcome to contact his office in Fredericksburg, VA.