| Dulles Healthcare | |
|
44075 Pipeline Plz Ste 225 Ashburn VA 20147-5889 | |
| (703) 542-7921 | |
| (703) 542-7931 |
| Full Name | Dulles Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 44075 Pipeline Plz Ste 225, Ashburn, Virginia |
| Authorized Official Name and Position | Anita S Chatman (OWNER) |
| Authorized Official Contact | 7035427921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dulles Healthcare 44075 Pipeline Plz Ste 225 Ashburn VA 20147-5889 Ph: (703) 542-7921 | Dulles Healthcare 44075 Pipeline Plz Ste 225 Ashburn VA 20147-5889 Ph: (703) 542-7921 |
| NPI Number | 1396235537 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 05/17/2021 |
| Medicare PECOS PAC ID | 8921332669 |
|---|---|
| Medicare Enrollment ID | O20190628001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396235537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rachel Wakatsuki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538131164 PECOS PAC ID: 0941289912 Enrollment ID: I20040714001466 |
| Provider Name | Anita S Chatman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730187642 PECOS PAC ID: 7214952647 Enrollment ID: I20051013000971 |
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