Patricia A Radich, DO
Family Medicine in Vienna, VA. Individual provider (NPI-1).
NPI number1962064949
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1962064949
- Entity type
- Individual (NPI-1)
- Name
- Patricia A Radich
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2019
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0102207297 | VA | Yes |
Practice location
2070 Chain Bridge Rd Ste 150Vienna, VA 22182-2598
Phone 703-383-4836 · Fax 703-383-4911
Mailing address
Po Box 417Fairfax, VA 22038-0417
Phone 703-901-3725
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