Provider Demographics
NPI:1154398378
Name:CACHAY, ANTONIO J (MD)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:J
Last Name:CACHAY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3289 WOODBURN RD
Mailing Address - Street 2:SUITE 85
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-6800
Mailing Address - Country:US
Mailing Address - Phone:703-560-0250
Mailing Address - Fax:703-560-0523
Practice Address - Street 1:3289 WOODBURN RD
Practice Address - Street 2:SUITE 85
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-6800
Practice Address - Country:US
Practice Address - Phone:703-560-0250
Practice Address - Fax:703-560-0523
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101023193207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA052912Medicare ID - Type Unspecified