Provider Demographics
NPI:1023104809
Name:DUNN, CHERYL TAUBMAN (MD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:TAUBMAN
Last Name:DUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PIDGEON HILL DRIVE
Mailing Address - Street 2:260
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-6146
Mailing Address - Country:US
Mailing Address - Phone:703-444-5700
Mailing Address - Fax:703-404-2703
Practice Address - Street 1:6 PIDGEON HILL DRIVE
Practice Address - Street 2:260
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6146
Practice Address - Country:US
Practice Address - Phone:703-444-5700
Practice Address - Fax:703-404-2703
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010273462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA260002917Medicare PIN
VA260002917Medicare ID - Type UnspecifiedMEDICARE