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Organization

ADVANCED DERMATOLOGY OF CHARLOTTESVILLE, PLC

Active
Other names
Advanced Dermatology of Charlottesville, PLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VANDANA SOOD NANDA M.D. (OWNER)
(434) 977-0027
Entity
Organization

Contact information

Practice address
600 PETER JEFFERSON PKWY STE 310, CHARLOTTESVILLE, VA 22911-8836
(434) 977-0027
(434) 923-3376
Mailing address
600 PETER JEFFERSON PKWY STE 310, CHARLOTTESVILLE, VA 22911-8836
(434) 977-0027
(434) 923-3376

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
187666
ANTHEM
VA
01
2145994
MAMSI LIFE AND HEALTH
01
413137
SOUTHERN HEALTH
VA
01
4368544
AETNA US HEALTHCARE
VA
Enumeration date
10/12/2006
Last updated
02/27/2025
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