Individual
DR. BELLA DAVE PATNAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8150 LEESBURG PIKE #909, VIENNA, VA 22182-2714
(703) 790-1780
(703) 734-0491
Mailing address
8150 LEESBURG PIKE #909, VIENNA, VA 22182-2714
(703) 790-1780
(703) 734-0491
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6309593
—
VA
Enumeration date
11/30/2006
Last updated
07/08/2007
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