Iyla Tikhonov CSA

NPI 1053541607 - Physician Assistant - 363AS0400X

NPI Details
NPI 1053541607
Gender Male
Enumeration Date 07/16/2009
Last Updated 07/21/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3300 GALLOWS RD
FALLS CHURCH VA, 22042-3307, US
Phone (703) 776-4094
Fax
Business Location
3378 WOODBURN RD APT T3
ANNANDALE VA, 22003-6817, US
Phone (703) 470-5588
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Virginia
License Number 06-228
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According to our database, Dr. Iyla Tikhonov CSA NPI is 1053541607, taxonomy code is 363AS0400X and license number is 06-228, license state is located at Virginia. Iyla Tikhonov CSA physically located at 3300 Gallows Rd, Falls Church VA, 22042-3307. NPI Number Iyla Tikhonov CSA has the Individual type.

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1053541607 NPI number is provided on an as is basis without warranty of any kind. 1053541607 is maintained by the National Plan & Provider Enumeration System. The contents of Iyla Tikhonov CSA are for informational purposes only.