Individual
DR. CHICKY DADLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1365 BEVERLY RD SECOND FLOOR, MCLEAN, VA 22101-3603
(703) 790-5850
(703) 790-1028
Mailing address
1365 BEVERLY ROAD SECOND FLOOR, MCLEAN, VA 22101-3603
(703) 790-5850
(703) 790-1028
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01001244894
VA
207N00000X
Dermatology Physician
Primary
0101244894
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790759348
MEDICARE PTAN
VA
Enumeration date
02/13/2006
Last updated
01/13/2017
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