Individual
DR. NATALIE KONTAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 ARLINGTON BLVD, SUITE 500, FALLS CHURCH, VA 22042-3013
(703) 396-6194
(703) 779-1372
Mailing address
104 GRANT AVE, TAKOMA PARK, MD 20912-4327
(301) 891-6845
(703) 779-1372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101244523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101244523
LICENSE
VA
Enumeration date
10/29/2008
Last updated
06/07/2021
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