Professional Dermatology Care, Pc in Reston - Specialist
Professional Dermatology Care, Pc - NPI 1598776817
Professional Dermatology Care, Pc is a Specialist in Reston, Virginia. Professional Dermatology Care, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Professional Dermatology Care, Pc is 1598776817. The last update date is 2012-01-03.
Professional Dermatology Care, Pc's current location address is 1801 Robert Fulton Dr, Reston, Virginia. You can contact this provider via phone number 7038601818 and fax number 7038605303. The mailing address for Professional Dermatology Care, Pc is 1801 Robert Fulton Dr, Reston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Dermatology Care, Pc |
|---|---|
| Address | 1801 Robert Fulton Dr, Reston, Virginia |
| Phone Number | 7038601818 |
| Fax Number | 7038605303 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nandedkar Maithily |
| Credentials | M.D. |
| Telephone Number | 7038601818 |
NPI Number Detail
| NPI Number | 1598776817 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2012-01-03 |
Provider Mailing Address Detail
| Address | 1801 Robert Fulton Dr |
|---|---|
| City | Reston |
| State | Virginia (VA) |
| Post Code | 201915461 |
| Phone Number | 7038601818 |
| Fax Number | 7038605303 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101232644 |
|
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 |
|---|---|---|---|
| 1558319319 | VA | INDIVIDUAL NPI NUMBER FOR MAIT |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Professional Dermatology Care, Pc by the Centers for Medicare & Medicaid Services?
The Professional Dermatology Care, Pc has been assigned the NPI (National Provider Identifier) 1598776817 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Professional Dermatology Care, Pc is physically located?
The Professional Dermatology Care, Pc is physically situated at the following address: 1801 Robert Fulton Dr, Reston, VA, 201915461.
What is Professional Dermatology Care, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Professional Dermatology Care, Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did the Professional Dermatology Care, Pc receive its 1598776817?
The Professional Dermatology Care, Pc was issued its 1598776817 on 2006-08-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Professional Dermatology Care, Pc last refreshed?
The information related to the Professional Dermatology Care, Pc, including its address, specialty, and other relevant details, was last updated on 2012-01-03.