Individual
DR. CHRISTOPHER MATTHEW MULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060
(571) 231-1402
(571) 231-6641
Mailing address
9300 DEWITT LOOP, ENDOCRINOLOGY SERVICE, FORT BELVOIR, AE 22060
(571) 231-1402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101254357
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
260392
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
270259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-028
TRICARE/CHAMPUS
VA
01
—
10113176
OPTIMA HEALTH
VA
01
—
1457675050
UNITED HEALTHCARE
VA
05
—
1457675050
—
NC
05
—
1457675050
—
VA
01
—
496817
ANHEM BC/BS
VA
01
—
PAR
CIGNA
VA
Enumeration date
03/25/2010
Last updated
09/25/2023
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