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CONSTANTINE N. CHIENKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14087 RICHMOND HWY UNIT 101, WOODBRIDGE, VA 22191
(571) 300-8000
Mailing address
4701 YOWELL LANE, MARSHALL, VA 20115
(540) 364-4398
(540) 349-3231

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101230316
VA
208000000X
Pediatrics Physician
010266823
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010266823
VA
01
199786
ANTHEM
VA
01
2146917
MAMSI
VA
01
3052918
CIGNA
VA
05
305773
VA
01
437472
SOUTHERN HEALTH
VA
01
541182305
UNITED HEALTHCARE
VA
01
752699
NCPPO
VA
01
8146917
MAMSI
VA
Enumeration date
06/07/2006
Last updated
02/28/2025
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