MEDICARE: MR. GRAHAM TODD DONDLINGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	P24012	MD
2	207R00000X	Internal Medicine Physician	0101253476	VA

General Provider Information

NPI Number	:	1316172885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GRAHAM TODD DONDLINGER M.D.

Provider Business Mailing Address
First Line	:	3620 WOODHAVEN CT
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-6407
Country	:	US
Telephone Number	:	703-626-6373
Fax Number	:	703-202-3635

Provider Business Practice Location Address
First Line	:	4167 MERCHANT PLZ
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-5088
Country	:	US
Telephone Number	:	703-878-8800
Fax Number	:	703-202-3635

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	04/22/2025

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