Individual
SIPHATH CHREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 COLUMBIA PIKE STE 103, ARLINGTON, VA 22204-4359
(703) 486-0716
(703) 486-0716
Mailing address
3215 COLUMBIA PIKE STE 103, ARLINGTON, VA 22204-4359
(703) 486-0716
(703) 486-0716
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101036442
VA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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