MEDICARE: DR. DEENA LYNN CHARNEY DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0103000971	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568421394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEENA LYNN CHARNEY DPM

Provider Business Mailing Address
First Line	:	9918 MAIN ST
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-3901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9918 MAIN ST
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-3901
Country	:	US
Telephone Number	:	703-273-9818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	05/08/2019

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