Provider Demographics
NPI:1558394643
Name:CHUTUAPE, ARTHUR DISINI (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DISINI
Last Name:CHUTUAPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARTHUR
Other - Middle Name:DOUGLAS
Other - Last Name:CHUTUAPE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7764 ARMISTEAD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1918
Mailing Address - Country:US
Mailing Address - Phone:703-339-3524
Mailing Address - Fax:703-339-9157
Practice Address - Street 1:8988 LORTON STATION BLVD
Practice Address - Street 2:#204
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4733
Practice Address - Country:US
Practice Address - Phone:703-339-3524
Practice Address - Fax:703-339-9157
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057686174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB16659Medicare UPIN
VA183023Medicare ID - Type Unspecified