Dr. Jeetandra M. Athelli, O.D.
Optometrist in Chantilly, VA. Individual provider (NPI-1).
NPI number1902808181
StatusActive
Last updated in NPPESJul 8, 2015
Details
- NPI
- 1902808181
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeetandra M. Athelli
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2005
- Last updated
- Jul 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618000308 | VA | Yes |
Practice location
14161a Robert Paris CtChantilly, VA 20151-4204
Phone 703-631-0014 · Fax 703-449-8770
Mailing address
400 Holiday Ct 207Warrenton, VA 20186-4349
Phone 540-347-2217 · Fax 540-347-0801
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All 21 Optometrist providers in Chantilly · All 1,347 providers in Chantilly
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