Organization
CHANTILLY REHAB PHYSICIANS PC
Active
Organization
CHANTILLY REHAB PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAIK SAMDANI MD (PRESIDENT)
(703) 991-9778
Entity
Organization
Contact information
Practice address
24430 MILLSTREAM DR, ALDIE, VA 20105-3098
(703) 991-9778
Mailing address
PO BOX 2207, FAIRFAX, VA 22031-0207
(703) 991-9778
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101238655
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437118437
—
VA
Enumeration date
06/20/2011
Last updated
04/24/2024
Update your record
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