MEDICARE: JEAN-GILLES TCHABO M.D.

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	207V00000X	Obstetrics & Gynecology Physician	10039	DC

General Provider Information

NPI Number	:	1962402792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN-GILLES TCHABO M.D.

Provider Business Mailing Address
First Line	:	5275 LEE HWY
Second Line	:	SUITE G-1
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1619
Country	:	US
Telephone Number	:	703-558-6591
Fax Number	:	703-558-6496

Provider Business Practice Location Address
First Line	:	5275 LEE HWY
Second Line	:	SUITE G-1
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1619
Country	:	US
Telephone Number	:	703-558-6591
Fax Number	:	703-558-6496

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	02/13/2015

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