Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IYLA TIKHONOV, CSA
Active Sole ProprietorDR. IYLA TIKHONOV, CSA is a Surgical Physician Assistant healthcare provider located in FALLS CHURCH, Virginia. NPI 1053541607 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FALLS CHURCH, VA
Registration Details
- NPI Number
- 1053541607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2009 (17.056454017086 yrs)
- Last Updated
- Jul 21, 2009
- License
-
06-228 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3300 GALLOWS RDFALLS CHURCH, VA, 220423307Browse VA providers · Browse ZIP 22042
- Phone
- 7037764094
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in FALLS CHURCH, VA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMEL E AKROUT | M.D. | 1295704195 |
| MRS. KRISTEN AULENBACH RUPELL | PA-C | 1013966241 |
| MR. CHRISTOPHER JOHN CATULLO | PAC | 1548206550 |
| MR. GLENN CHARLES BAILEY JR. | PA-C | 1992928477 |
| JENNIFER R ARCHIBALD | PA-C | 1144409103 |
| ROSLYNN MASON | PA | 1720225626 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.