Provider Demographics
NPI:1194920140
Name:CHADDA, DARSHANA (DO)
Entity type:Individual
Prefix:DR
First Name:DARSHANA
Middle Name:
Last Name:CHADDA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DARSHANA
Other - Middle Name:
Other - Last Name:CHADDA DETTMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:2901 S LYNNHAVEN RD STE 450
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-8524
Mailing Address - Country:US
Mailing Address - Phone:757-536-2246
Mailing Address - Fax:
Practice Address - Street 1:2901 S LYNNHAVEN RD STE 450
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-8524
Practice Address - Country:US
Practice Address - Phone:757-536-2246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT011390207R00000X
CA20A10905207RG0300X
WAOP60904169207R00000X
VA0102204387207R00000X
NC201201867207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine