Healthcare Provider Details

I. General information

NPI: 1013100916
Provider Name (Legal Business Name): NANDINI CHHITWAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HOSPITAL DR
WARRENTON VA
20186-3027
US

IV. Provider business mailing address

500 HOSPITAL DR
WARRENTON VA
20186-3027
US

V. Phone/Fax

Practice location:
  • Phone: 540-316-5940
  • Fax:
Mailing address:
  • Phone: 540-316-5940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number0101245887
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: