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Individual

DR. SUNDAY C UCHELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14904 JEFFERSON DAVIS HWY., #402, WOODBRIDGE, VA 22191-3311
(703) 499-8999
(703) 499-8996
Mailing address
6832 CREEK CREST WAY, SPRINGFIELD, VA 22150-4608
(703) 499-8999
(703) 499-8996

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101052828
VA
208000000X
Pediatrics Physician
0101052828
VA
208000000X
Pediatrics Physician
Primary
D47415
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010208351
VA
Enumeration date
05/17/2006
Last updated
07/10/2020
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