Professional Dermatology Care, Pc

LBN: Professional Dermatology Care, Pc
Professional Dermatology Care, Pc is an health care organization with primary practice located at 1801 Robert Fulton Dr Suite 520, Reston VA 20191-5461. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Professional Dermatology Care, Pc can be contacted via phone (703) 860-1818, or through Nandedkar, Maithily via phone (703) 860-1818.

Contact Information

Primary practice address
1801 Robert Fulton Dr Suite 520 Reston VA 20191-5461
Phone: (703) 860-1818
Fax: (703) 860-5303
Website:
Map and Directions
Authorized official contact:
Name: Nandedkar, Maithily Doctor of Medicine (MD)
Phone: (703) 860-1818

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101232644 Virginia

Profile Details

NPI number 1598776817
LBN Legal business name Professional Dermatology Care, Pc
DBA Doing business as
Authorized official Nandedkar, Maithily Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 3rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598776817 NPPES
Virginia Other 1558319319 INDIVIDUAL NPI NUMBER FOR MAITHILY A. NANDEDKAR

Popular Providers