1083747141 NPI number — DR. PARVEEN KHALIDHA CHOWDHRY MD

Table of content: KAPIL KOTADIA DDS (NPI 1346829322)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083747141 NPI number — DR. PARVEEN KHALIDHA CHOWDHRY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHOWDHRY
Provider First Name:
PARVEEN
Provider Middle Name:
KHALIDHA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083747141
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13311 SCOTSMORE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAK HILL
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20171-4062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-432-3921
Provider Business Mailing Address Fax Number:
703-707-2428

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6712 ARLINGTON BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALLS CHURCH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-534-2584
Provider Business Practice Location Address Fax Number:
703-534-2394
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080N0001X , with the licence number:  0101046596 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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