MEDICARE: DR. CATHERINE M PIPAN 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	207Q00000X	Family Medicine Physician	0101051331	VA

General Provider Information

NPI Number	:	1326040569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE M PIPAN M.D.

Provider Business Mailing Address
First Line	:	24801 PINEBROOK RD
Second Line	:	STE 202
City	:	CHANTILLY
State	:	VA
Zip	:	20152-4113
Country	:	US
Telephone Number	:	703-385-6789
Fax Number	:	703-352-9409

Provider Business Practice Location Address
First Line	:	4001 FAIR RIDGE DR
Second Line	:	SUITE 101
City	:	FAIRFAX
State	:	VA
Zip	:	22033-2917
Country	:	US
Telephone Number	:	703-385-6789
Fax Number	:	703-352-9409

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	11/27/2023

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