Healthcare Provider Details

I. General information

NPI: 1083747141
Provider Name (Legal Business Name): PARVEEN KHALIDHA CHOWDHRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6712 ARLINGTON BLVD
FALLS CHURCH VA
22042
US

IV. Provider business mailing address

13311 SCOTSMORE WAY
OAK HILL VA
20171-4062
US

V. Phone/Fax

Practice location:
  • Phone: 703-534-2584
  • Fax: 703-534-2394
Mailing address:
  • Phone: 703-432-3921
  • Fax: 703-707-2428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number0101046596
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: