IYLA TIKHONOV

FALLS CHURCH, VA
NPI1053541607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: VA  06-228)
Enumeration Date2009-07-16
Last Update Date2009-07-21
Business Address
Dr. IYLA TIKHONOV CSA
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-4094
Mailing Address
Dr. IYLA TIKHONOV CSA
3378 WOODBURN RD APT T3
ANNANDALE, VA 22003-6817
Phone number: 703-470-5588