MEDICARE: DR. ADITYA N DUBEY MD

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	0101258876	VA
2	207RP1001X	Pulmonary Disease Physician	C1-0008306	DE
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	0101258876	VA
4	207RP1001X	Pulmonary Disease Physician	0101258876	VA

General Provider Information

NPI Number	:	1922203116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADITYA N DUBEY MD

Provider Business Mailing Address
First Line	:	24430 STONE SPRINGS BLVD UNIT 200
Second Line	:
City	:	DULLES
State	:	VA
Zip	:	20166-2269
Country	:	US
Telephone Number	:	571-367-0000
Fax Number	:	703-857-5955

Provider Business Practice Location Address
First Line	:	24430 STONE SPRINGS BLVD UNIT 200
Second Line	:
City	:	DULLES
State	:	VA
Zip	:	20166-2269
Country	:	US
Telephone Number	:	571-367-0000
Fax Number	:	703-857-5955

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

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	06/20/2022

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