Organization
CHANTILLY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH N MEHRA D.O (MEDICAL DIRECTOR)
(703) 968-7277
Entity
Organization
Contact information
Practice address
4437 BROOKFIELD CORPORATE DR, CHANTILLY, VA 20151-2122
(703) 968-7277
(703) 968-5644
Mailing address
4437 BROOKFIELD CORPORATE DR, CHANTILLY, VA 20151-2122
(703) 968-7277
(703) 968-5644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0102033582
VA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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