Individual
DR. CHAITANYA KRISHNA DAHAGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8819 BLUE ROYALE LN, FAIRFAX, VA 22031-2150
(256) 457-7701
Mailing address
8819 BLUE ROYALE LN, FAIRFAX, VA 22031-2150
(256) 457-7701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101251530
VA
Other
Enumeration date
11/14/2007
Last updated
04/09/2015
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