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Individual

AMITA CHAUDHARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1635 N GEORGE MASON DR, SUITE 430, ARLINGTON, VA 22205-3601
(703) 527-1303
(703) 527-5221
Mailing address
1635 N GEORGE MASON DR, SUITE 430, ARLINGTON, VA 22205-3601
(703) 527-1303
(703) 527-5221

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101226003
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
67380002
BLUE CROSS BLUE SHIELD
VA
Enumeration date
11/20/2006
Last updated
07/08/2007
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