Derwae, Amanda

Derwae, Amanda is an individual health care provider with primary practice located at 10680 Main St Ste 200 , Fairfax VA 22030-3810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Derwae, Amanda can be contacted via phone (703) 352-2620.

Contact Information

Primary practice address
10680 Main St Ste 200 Fairfax VA 22030-3810
Phone: (703) 352-2620
Fax: (703) 352-2620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 27508 Nebraska
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101280445 Virginia

Profile Details

NPI number 1164796942
LBN Legal business name Derwae, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2012
Last updated May 8th, 2024 - about 2 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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