Advanced Dermatology Of Charlottesville in Fishersville - Specialist
Advanced Dermatology Of Charlottesville - NPI 1588791255
Advanced Dermatology Of Charlottesville is a Specialist in Fishersville, Virginia. Advanced Dermatology Of Charlottesville practices all healthcare services and medical treatments related to Specialist. The NPI Number for Advanced Dermatology Of Charlottesville is 1588791255. The last update date is 2018-06-21.
Advanced Dermatology Of Charlottesville's current location address is 66 Parkway Ln, Fishersville, Virginia. You can contact this provider via phone number 4349770027 and fax number 4349782040. The mailing address for Advanced Dermatology Of Charlottesville is 66 Parkway Ln, Fishersville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Dermatology Of Charlottesville |
|---|---|
| Address | 66 Parkway Ln, Fishersville, Virginia |
| Phone Number | 4349770027 |
| Fax Number | 4349782040 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nanda S Vandana |
| Credentials | MD |
| Telephone Number | 4349770027 |
NPI Number Detail
| NPI Number | 1588791255 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 66 Parkway Ln |
|---|---|
| City | Fishersville |
| State | Virginia (VA) |
| Post Code | 229392384 |
| Phone Number | 4349770027 |
| Fax Number | 4349782040 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 06-00006615 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 221022 | VA | ANTHEM | |
| 413137 | VA | SOUTHERN HEALTH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Advanced Dermatology Of Charlottesville?
The Advanced Dermatology Of Charlottesville has been issued the NPI (National Provider Identifier) 1588791255 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Advanced Dermatology Of Charlottesville is physically located?
The Advanced Dermatology Of Charlottesville is situated at the following address: 66 Parkway Ln, Fishersville, VA 229392384.
What is Advanced Dermatology Of Charlottesville's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Advanced Dermatology Of Charlottesville is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Advanced Dermatology Of Charlottesville receive its 1588791255 assignment from the Centers for Medicare & Medicaid Services?
The Advanced Dermatology Of Charlottesville was assigned its 1588791255 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information pertaining to Advanced Dermatology Of Charlottesville most recently updated or revised?
The details related to Advanced Dermatology Of Charlottesville, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-21.