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Organization

ARUN VILLIVALAM, MD., INC.

Active
Parent organization
CHS HEALTH SERVICES
Other names
The Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHS HEALTH SERVICES
Authorized official
STUART CLARK (EXECUTIVE VP)
(703) 760-0700
Entity
Organization

Contact information

Practice address
1 DNA WAY, BUILDING 5, SOUTH SAN FRANCISCO, CA 94080-4918
(703) 760-0700
Mailing address
10701 PARKRIDGE BLVD, STE 200, RESTON, VA 20191-4359

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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