Provider Demographics
NPI:1730187642
Name:CHATMAN, ANITA SHABNAM (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:SHABNAM
Last Name:CHATMAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:42010 VILLAGE CENTER PLZ
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:STONE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-3032
Mailing Address - Country:US
Mailing Address - Phone:703-542-7921
Mailing Address - Fax:703-542-7931
Practice Address - Street 1:42010 VILLAGE CENTER PLZ
Practice Address - Street 2:SUITE # 100
Practice Address - City:STONE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:20105-3032
Practice Address - Country:US
Practice Address - Phone:703-542-7921
Practice Address - Fax:703-542-7931
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101052287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G03472Medicare UPIN
008788F11Medicare PIN