Provider Demographics
NPI:1699733808
Name:HAMILTON, CHAD ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:ANDREW
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3289 WOODBURN RD STE 320
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-7354
Mailing Address - Country:US
Mailing Address - Phone:571-308-1830
Mailing Address - Fax:571-308-1843
Practice Address - Street 1:3289 WOODBURN RD STE 320
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:571-308-1830
Practice Address - Fax:571-308-1843
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101264014207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2014107550Medicaid