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Individual

DR. CHAO YIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8613 ROUTE 29 # 200N, FAIRFAX, VA 22031-2171
(571) 350-8400
(703) 280-9596
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(703) 940-8697

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101265952
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101265952
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477909240
VA
01
2D3778
MEDICARE PTAN
DC
Enumeration date
05/10/2016
Last updated
04/24/2024
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