# DULLES VEIN AND SURGICAL CLINICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245739762
- **Authorized official:** DR. DINGCHAO HE MD (PROVIDER)
- **Authorized official phone:** (202) 270-0159

## Contact information

- **Practice address:** 44355 PREMIER PLZ STE 120, ASHBURN, VA 20147-5050
- **Practice address phone:** (571) 639-9220
- **Practice address fax:** (844) 965-9773
- **Mailing address:** 25149 DEERHURST TER, CHANTILLY, VA 20152-6099
- **Mailing address fax:** (844) 965-9773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | 0101259677 | VA | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2018
- **Last updated:** 08/08/2019
