Organization
ADVANCED DERMATOLOGY OF CHARLOTTESVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANDANA S NANDA MD (OWNER)
(434) 977-0027
Entity
Organization
Contact information
Practice address
600 PETER JEFFERSON PKWY, SUITE 350, CHARLOTTESVILLE, VA 22911-8835
(434) 977-0027
(434) 978-2040
Mailing address
66 PARKWAY LN, SUITE 101 C, FISHERSVILLE, VA 22939-2384
(434) 977-0027
(434) 978-2040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06-00006615
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221022
ANTHEM
VA
01
—
413137
SOUTHERN HEALTH
VA
Enumeration date
02/28/2007
Last updated
06/21/2018
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