Healthcare Provider Details

I. General information

NPI: 1396235537
Provider Name (Legal Business Name): CHATMAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44075 PIPELINE PLZ STE 225
ASHBURN VA
20147-5889
US

IV. Provider business mailing address

44075 PIPELINE PLZ STE 225
ASHBURN VA
20147-5889
US

V. Phone/Fax

Practice location:
  • Phone: 703-542-7921
  • Fax: 703-542-7931
Mailing address:
  • Phone: 703-542-7921
  • Fax: 703-542-7931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANITA S CHATMAN
Title or Position: OWNER
Credential: MD
Phone: 703-542-7921