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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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