Organization
DULLES HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA L GORLE M.D. (PRINCIPAL)
(703) 961-1680
Entity
Organization
Contact information
Practice address
4080 LAFAYETTE CENTER DR, SUITE # 110, CHANTILLY, VA 20151-1247
(703) 961-1680
Mailing address
4080 LAFAYETTE CENTER DR, SUITE # 110, CHANTILLY, VA 20151-1247
(703) 961-1680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235079
VA
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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