Chenthitta, Anil Mathew

Chenthitta, Anil Mathew is an sole proprietor health care provider with primary practice located at 19450 Deerfield Ave Ste 280 , Leesburg VA 20176-6821. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Chenthitta, Anil Mathew can be contacted via phone (571) 510-3815.

Contact Information

Primary practice address
19450 Deerfield Ave Ste 280 Leesburg VA 20176-6821
Phone: (571) 510-3815
Fax: (571) 510-3675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME128763 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101252929 Virginia

Profile Details

NPI number 1275769168
LBN Legal business name Chenthitta, Anil Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2009
Last updated Mar 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275769168 NPPES
Virginia Other 0101252929 LICENSE NO
Virginia MEDICAID 1275769168 LICENSE NO
Virginia Other P01159671 LICENSE NO

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