Organization
NORTHERN VIRGINIA PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALRAJ DHILLON MD (PRESIDENT)
(703) 773-0447
Entity
Organization
Contact information
Practice address
13505 DULLES TECHNOLOGY DR, SUITE 1A, HERNDON, VA 20171-3401
(703) 773-0447
(703) 773-0448
Mailing address
13608 HOLLY RIDGE LN, GAINESVILLE, VA 20155
(703) 773-0447
(703) 773-0448
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101236602
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182080
ANTHEM BCBS
VA
01
—
N033
CAREFIRST/BC OF WASH DC
DC
Enumeration date
07/18/2006
Last updated
02/27/2008
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