Kladakis, Michelle Therese
Kladakis, Michelle Therese is an individual health care provider with primary practice located at 3015 Williams Dr Suite 200, Fairfax VA 22031-4623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kladakis, Michelle Therese can be contacted via phone (703) 698-8800.Contact Information
Primary practice address
3015 Williams Dr Suite 200
Fairfax VA 22031-4623
Phone: (703) 698-8800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101244697 | Virginia |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0062129 | Maryland |
Profile Details
NPI number | 1902896616 |
---|---|
LBN Legal business name | Kladakis, Michelle Therese |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2005 |
Last updated | May 28th, 2024 - about last year |
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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