Candace Fugate
M.D. | Pediatrics | Female
Candace Fugate, M.D. is a Chantilly, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Candace Fugate is
3914 Centreville Rd Ste 101, Chantilly, Virginia - 20151-3289. She can be contacted on phone at
703-481-8600 and fax number 703-481-8618.
Candace Fugate is a sole proprietor of her business.
NPI number (Unique professional ID) for Candace Fugate is
1689632028 which was assigned by NPPES on 03 May, 2006 and it was last updated on 22 Jan, 2020.
Candace Fugate license number is
0101057927 for Pediatrics (208000000X) in Virginia.
Candace Fugate is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Candace Fugate basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Candace Fugate |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Candace Fugate address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3914 Centreville Rd Ste 101
Chantilly, VA, 20151-3289
United States |
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| Phone Number : | 703-481-8600 |
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| Fax Number : | 703-481-8618 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689632028 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 May, 2006 |
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| Last Updated On : | 22 Jan, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Candace Fugate are as mentioned. Primary taxonomy code for Candace Fugate, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0101057927 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Candace Fugate such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6714463 | MEDICAID | VA | |
| 6733999 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3914 Centreville Rd
Chantilly, VA, 20151-3289
United States |
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| Phone Number : | 703-481-8600 |
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| Fax Number : | 855-308-2338 |
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Business Location:
Patients can refer following map for directions to
Candace Fugate practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.