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Organization
CHANTILLY FAMILY MEDICINE LLC
Active
Organization
CHANTILLY FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANIKA GOVIL M.D. (PRESIDENT)
(703) 599-8463
Entity
Organization
Contact information
Practice address
14113 ROBERT PARIS CT, CHANTILLY, VA 20151-4200
(703) 956-6757
(855) 359-2261
Mailing address
14113 ROBERT PARIS CT, CHANTILLY, VA 20151-4200
(039) 566-7577
(855) 359-2261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101242454
VA
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/25/2012
Last updated
08/31/2023
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