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CHANTILLY FAMILY MEDICINE LLC NPI 1306106182


NPI Information

NPI: 1306106182
Provider Name: CHANTILLY FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D2056929

Address:
14113 ROBERT PARIS CT
CHANTILLY, VA
ZIP 20151
Phone: (703) 956-6757
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CHANTILLY FAMILY MEDICINE LLC is a family medicine in Chantilly, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHANTILLY FAMILY MEDICINE LLC NPI is 1306106182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14113 ROBERT PARIS CT
CHANTILLY, VA
ZIP 20151-200
Phone: (703) 956-6757
Fax: (855) 359-2261

The provider's authorized official is Kanika Govil .
The authorized official title is President and has the following contact phone number (703) 599-8463.

The CLIA number assigned to this NPI record is 49D2056929 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 8/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0101242454VIRGINIANo
2208000000XPediatricsNo
3207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.