Chantilly Family Medicine LLC

NPI #1306106182 in Chantilly, Virginia

Provider Information

NPI Number: 1306106182
Entity Type: Organization
Organization Name: Chantilly Family Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: May 25, 2012
Last Updated: Aug 31, 2023

Practice Location

Address: 14113 ROBERT PARIS CT
City: Chantilly
State: Virginia
ZIP Code: 20151-4200
Phone: (703) 956-6757

Authorized Official

Name: DR. KANIKA GOVIL, M.D.
Title: PRESIDENT
Phone: (703) 599-8463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Pediatrics	208000000X

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