DR. Jeetandra M. Athelli, O.D.

NPI #1902808181 in Chantilly, Virginia

Provider Information

NPI Number: 1902808181
Entity Type: Individual
Name: DR. Jeetandra M. Athelli, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 1, 2005
Last Updated: Jul 8, 2015

Practice Location

Address: 14161A ROBERT PARIS CT
City: Chantilly
State: Virginia
ZIP Code: 20151-4204
Phone: (703) 631-0014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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