Individual
ATUL EDWARD PHILIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 20151-1270
(703) 625-8130
Mailing address
4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 20151-1270
(703) 625-8130
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-1868
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-1868
COMMONWEALTH OF VIRGINIA
VA
Enumeration date
09/07/2018
Last updated
09/07/2018
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