Healthcare Provider Details

I. General information

NPI: 1003895970
Provider Name (Legal Business Name): GEORGE UTHUAN CHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21785 FILIGREE COURT SUITE 202
ASHBURN VA
20147
US

IV. Provider business mailing address

21785 FILIGREE COURT SUITE 202
ASHBURN VA
20147
US

V. Phone/Fax

Practice location:
  • Phone: 703-723-8988
  • Fax: 703-723-8998
Mailing address:
  • Phone: 703-723-8988
  • Fax: 703-723-8998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101235370
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: