Whalio Doctors

NPI 1003851460

Michael Maitland, MDPHD

Practitioner Medical Oncology Physician Fairfax, VA

Practice location

Address
8081 Innovation Park Dr, Fairfax, VA 22031-4867
Phone
(571) 472-4724
Fax
(571) 472-1601
Mailing address
540 N State St APT 3111, Chicago, IL 60610-7231

Registered specialties (3)

Medical Oncology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RX0202X Licence 0101261271 (VA)
Medical Oncology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RX0202X Licence 036-109601 (IL)
Clinical Pharmacology Physician
Allopathic & Osteopathic Physicians Taxonomy 208U00000X Licence 036-109601 (IL)

Registry record

NPI
1003851460
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jun 2006
Record last updated
27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.