Provider Demographics
NPI:1003895970
Name:CHAR, GEORGE UTHUAN (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:UTHUAN
Last Name:CHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21785 FILIGREE COURT
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147
Mailing Address - Country:US
Mailing Address - Phone:703-723-8988
Mailing Address - Fax:703-723-8998
Practice Address - Street 1:21785 FILIGREE COURT
Practice Address - Street 2:SUITE 202
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147
Practice Address - Country:US
Practice Address - Phone:703-723-8988
Practice Address - Fax:703-723-8998
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235370207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3917524OtherAETNA HMO
VAK826OtherCAREFIRST
VA7226731OtherAETNA PPO
VA186759OtherANTHEM BCBS PPO
VA2139819OtherMAMSI,MDIPA,OPTIMUMCHOICE
VA289998OtherAMERIGROUP
VAP00273878OtherRAILROAD MEDICARE ID- PIN
VA7226731OtherAETNA PPO
VAK826OtherCAREFIRST