MEDICARE: ALICIA BARNES CHITANAND DO

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	207QS0010X	Sports Medicine (Family Medicine) Physician	0102204556	VA
2	207QS0010X	Sports Medicine (Family Medicine) Physician	FC6870251	NC

General Provider Information

NPI Number	:	1841602729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA BARNES CHITANAND DO

Provider Business Mailing Address
First Line	:	1440 W TAYLOR ST # 227
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 SENTARA PARK # 3
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-5884
Country	:	US
Telephone Number	:	757-252-3050
Fax Number	:

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

Provider Enumeration Date	:	05/27/2014
Last Update Date	:	01/07/2026

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