Individual
AIZHAN TYNDYBEKOVA REPCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3302 GALLOWS RD, FALLS CHURCH, VA 22042-3353
(036) 453-1157
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 338-2885
(864) 626-0412
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
0101262713
VA
2084P0800X
Psychiatry Physician
Primary
0101262713
VA
Other
Enumeration date
03/19/2012
Last updated
01/17/2020
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