Organization
ELITE DERMATOLOGY AND ESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALEH RACHIDI MD (OWNER)
(843) 327-2910
Entity
Organization
Contact information
Practice address
8100 BOONE BLVD STE 230, VIENNA, VA 22182-2642
(703) 495-5555
Mailing address
8100 BOONE BLVD STE 230, VIENNA, VA 22182-2642
(703) 495-5555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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