Dulles Health LLC

NPI #1093933723 in Chantilly, Virginia

Provider Information

NPI Number: 1093933723
Entity Type: Organization
Organization Name: Dulles Health LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4080 LAFAYETTE CENTER DR
Address 2: SUITE # 110
City: Chantilly
State: Virginia
ZIP Code: 20151-1247
Phone: (703) 961-1680

Authorized Official

Name: VIJAYA L GORLE, M.D.
Title: PRINCIPAL
Phone: (703) 961-1680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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