Individual
MR. AVTAR S CHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10701 ROSEMARY DR, KAISER PERMANENTE MANASSAS MEDICAL CENTER, MANASSAS, VA 20109-7282
(703) 257-3000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101245203
VA
207Q00000X
Family Medicine Physician
D0071989
MD
207Q00000X
Family Medicine Physician
MD039235
DC
Other
Enumeration date
04/11/2007
Last updated
05/31/2021
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