Healthcare Provider Details

I. General information

NPI: 1588481576
Provider Name (Legal Business Name): FALLS CHURCH PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 07/19/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7263F ARLINGTON BLVD
FALLS CHURCH VA
22042-3219
US

IV. Provider business mailing address

23079 STEGER PL
LEESBURG VA
20175-4851
US

V. Phone/Fax

Practice location:
  • Phone: 703-775-0777
  • Fax:
Mailing address:
  • Phone: 703-889-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAVNEET KAUR DHALIWAL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 703-889-0000