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Virginia DeltaCare Provider ListALEXANDRIAALEXANDRIA (cont’d)ALEXANDRIA (cont’d)Sinan AithraaProvider # VA000401416296(1)7696 Richmond HwySte DAlexandria, VA 22306703-214-1924**Rolin HenryProvider # VA000401410508(1)7900 Andrus Rd #2Alexandria, VA 22306703-780-4422Mike NguyenProvider # VA000401413735(1)7696 Richmond HwySte DAlexandria, VA 22306703-214-1924Mazin AlayssamiProvider # VA000401008416(1)5249 Duke Street 210Alexandria, VA 22304703-823-2413Zaynab Al-QuraishiProvider # VA000401415493(1)5249 Duke St210Alexandria, VA 22304703-823-2413Fawaad ChaudhryProvider # VA000401416336(1)7696 Richmond HwySte DAlexandria, VA 22306703-214-1924**Joseph DevylderProvider # VA000438000161(1)5249 Duke Street 210Alexandria, VA 22304703-823-2413Stephanie DicksonProvider # VA000401410681(1)5962 Richmond HwyAlexandria, VA 22303571-481-4410Khanh DuProvider # VA000401413715(1)3610 Forest DrAlexandria, VA 22302703-578-4221****Rashmi GaneshProvider # VA000401415538(1)7696 Richmond HwySte DAlexandira, VA 22306703-214-1924Sama HamdoonProvider # VA000401415776(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Shiva KermanshiProvider # VA000401410790(1)715 Pendleton StAlexandria, VA 22314571-970-3783Shiva KermanshiProvider # VA000401410790(1)101 S Whiting St #100Alexandria, VA 22304703-751-7000*Joel KesslerProvider # VA000401006677(1)3543 W Braddock Rd #E1Alexandria, VA 22302703-931-6600Said KhalefaProvider # VA000401007592(2)4600 B Pinecrest Office Pk DrAlexandria, VA 22312703-914-0020*Lawrence KotlerProvider # VA000401004446(1)3543 W Braddock Rd #E1Alexandria, VA 22302703-931-6600*Kevin KunzProvider # VA000401415369(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Mahdi MojarradProvider # VA000401416679(1)7696 Richmond HwySte DAlexandria, VA 22306703-214-1924Mariam NaeemProvider # VA000401414993(1)5249 Duke Street210Alexandria, VA 22304703-823-2413**Phuong NguyenProvider # VA000401412250(1)7696 Richmond HwySTE DAlexandria, VA 22306703-214-1924Jung ParkProvider # VA000401411935(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Lisa RosemanProvider # VA000401416326(1)5249 Duke Street 210Alexandria, VA 22304703-823-2413Mahsa ShahidiProvider # VA000401415821(1)7696 Richmond HwySTE DAlexandria, VA 22306703-214-1924Ali ShahrestaniProvider # VA000401415528(1)7696 Richmond HwySte DAlexandria, VA 22306703-214-1924Homan SolemaninejadProvider # VA000401410638(1)715 Pendleton StAlexandria, VA 22314571-970-3783Homan SolemaninejadProvider # VA000401410638(1)101 S Whiting St #100Alexandria, VA 22304703-751-70001ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
ANNANDALEARLINGTON (cont’d)CENTREVILLEMonica Chang-WatanabeProvider # VA000401412427(1)7857 Heritage DrSuite 320Annandale, VA 22003703-721-4261Diem NguyenProvider # VA000401410421(1)1050 N Highland St.#300NArlington, VA 22201703-527-3888*Edward StrittmatterProvider # VA000401007891(1)5957 Centreville Crest LaneCentreville, VA 20121703-815-3636**Joseph DevylderProvider # VA000438000161(7)7620 Ltl River Tnpk 204Annandale, VA 22003703-354-0686*Tu-Quynh NguyenProvider # VA000401410610(3)3801 N Fairfax Dr #40Arlington, VA 22203703-534-0255Tae LeeProvider # VA000401008922(1)7002-C Little River TpkAnnandale, VA 22003703-256-7100*Richard PollockProvider # VA000401007979(3)3801 N Fairfax Dr #40Arlington, VA 22203703-534-0255ARLINGTONHoman SolemaninejadProvider # VA000401410638(1)900 N Randolph St #103Arlington, VA 22203703-243-3600CHANTILLYMonica Chang-WatanabeProvider # VA000401412427(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888Hung DuongProvider # VA000401410983(1)3800 Fairfax DrSte 6Arlington, VA 22203703-249-4409Hung DuongProvider # VA000401410983(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888Roselyne GichanaProvider # VA000401413414(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888Thuylinh HuynhProvider # VA000401412334(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888*Eun LeeProvider # VA000401413569(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888ASHBURNGretchen DreesProvider # VA000401008890(1)100 Arbor Oak Dr #101Ashland, VA 23005804-798-7388Neal KravitzProvider # VA000401411350(1)20405 Exchange St #260Ashburn, VA 20147703-729-0350Duy-Anh VuProvider # VA000401413312(1)20915 Ashburn Rd#245Asburn, VA 20147703-726-9313BURKE*Tu-Quynh NguyenProvider # VA000401410610(2)8987 Hersand DriveBurke, VA 22015703-978-2525*Richard PollockProvider # VA000401007979(2)8987 Hersand DriveBurke, VA 22015703-978-2525Gursimran BhangraProvider # VA000401415905(1)25421 Lizzio Center DrSte 190Chantilly, VA 20152703-548-9724***Annapurna BondalapatiProvider # VA000401415769(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Lina JameelProvider # VA000401416074(1)3901 Ceneterview Dr.#TChantilly, VA 20151703-467-0214Sai KhamProvider # VA000401413691(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0217**Barry MaharajProvider # VA000401410305(1)3910 Centreville Rd #110Chantilly, VA 20151703-668-9494Diem NguyenProvider # VA000401410421(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Archana RejintalaProvider # VA000401412664(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214*Stephen SchroderProvider # VA000401415207(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Mahsa ShahidiProvider # VA000401415821(1)25421 Lizzio Center DrSTE 190Chantilly, VA 20152703-548-97242ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
CHANTILLY (cont’d)CHESAPEAKE (cont’d)CHESAPEAKE (cont’d)Vinh TranProvider # VA000401413899(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Ashwini BichuProvider # VA000401415473(3)1230 Progressive Dr.#103Chesapeake, VA 23320757-436-1270Kimbrough HornsbyProvider # VA000401411379(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Xinsheng ZhuProvider # VA000401411645(2)14149 A Roberts Paris CtChantilly, VA 20151703-657-0555CHESAPEAKEAmen AlemayehuProvider # VA000401413304(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Benjamin AndersonProvider # VA000401410504(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270John AshbyProvider # VA000401411276(3)1021 N Eden WaySte 128Chesapeake, VA 23320757-547-8700Kelly BusseyProvider # VA000401410052(2)2995 Churchland Blvd #BChesapeake, VA 23321757-416-5333**Valerie ByrnsideProvider # VA000401411443(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002Kristen BenesProvider # VA000401413031(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Kenneth BoydProvider # VA000401007988(2)4107 Portsmouth Blvd #107Chesapeake, VA 23321757-488-1421Darrell BoyceProvider # VA000401007992(1)1711 Parkview DriveChesapeake, VA 23320757-424-6580Howard CobbProvider # VA000401007814(3)2605 Moses Grandy TrSte BChesapeake, VA 23323757-558-0600David DanoProvider # VA000401413548(2)4107 Portsmouth Blvd#107Chesapeake, VA 23321757-488-1421Kathy DelvaProvider # VA000401415001(1)200 N Battlefield Blvd # 4Chesapeake, VA 23320757-769-7155Leigh FortneyProvider # VA000401416622(3)1230 Progressive Dr#103Chesapeake, VA 23320757-436-1270Bernarda FriasProvider # VA000401414445(2)4107 Portsmouth Blvd #107Chesapeake, VA 23321757-488-1421**John GreenProvider # VA000401414793(6)1100 Volvo Parkway#300Chesapeake, VA 23320757-412-2002Joseph GloriaProvider # VA000401008048(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Keith GoldsteinProvider # VA000401007904(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270**Scott GoodoveProvider # VA000401410548(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002Elleni KapoorProvider # VA000401413954(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270****Albert KonikoffProvider # VA000401004445(2)1230 Progressive DrChesapeake, VA 23320757-436-4026****Bryan KonikoffProvider # VA000401410766(2)1230 Progressive DrChesapeake, VA 23320757-436-4026Pye KyuProvider # VA000401411565(1)1200 N Battlefield BlvdSte 117Chesapeake, VA 23320757-436-4227*Pye KyuProvider # VA000401411565(2)1230 Progressive Dr.Ste. 105Chesapeake, VA 23320757-436-4227Angela LanierProvider # VA000401410700(2)4107 Portsmouth Blvd #107Chesapeake, VA 23321757-488-1421Clara LlodraProvider # VA000401008380(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Britnie TranProvider # VA000401414441(3)1230 Progressive Dr #103Chesapeake, VA 23320757-673-6250Michael MarcouProvider # VA000401007701(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-12703ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
CHESAPEAKE (cont’d)CHESAPEAKE (cont’d)CHESAPEAKE (cont’d)**Darrell MeeksProvider # VA000401007337(2)711 Greenbriar Pkwy #104Chesapeake, VA 23320757-548-1712Marcus SurProvider # VA000401414439(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270*William BusseyProvider # VA000401004066(2)2995 Churchland Blvd #BChesapeake, VA 23321757-416-5333Kyung MinProvider # VA000401413123(3)1230 Progressive Dr#103Chesapeake, VA 23320757-436-1270Sheila VacendakProvider # VA000401008843(1)701 Quince PlaceChesapeake, VA 23320757-609-3510**Zachary BerryProvider # VA000401414196(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002Daniel VacendakProvider # VA000401413228(1)701 Quince PlaceChesapeake, VA 23320757-609-3510Zaneta HamlinProvider # VA000401413708(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270**Caroline WebberProvider # VA000401411368(2)1230 Progressive DrChesapeake, VA 23320757-436-4026CHESTERLinda OhProvider # VA000401416144(3)1230 Progressive Dr#103Chesapeake, VA 23320757-436-1270Louis PeronProvider # VA000401004795(3)501 Independence Pkwy #101Chesapeake, VA 23320757-467-2102Scott SachsProvider # VA000401412640(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Ivan SchiffProvider # VA000401004149(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Nathan ShapiroProvider # VA000401415270(3)1230 Progressive DrSte 103Chesapeake, VA 23320757-436-1270Darian SimmonsProvider # VA000401410476(1)801 Volvo Pkwy #113Chesapeake, VA 23320757-436-7000Lauren SingorProvider # VA000401412199(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Thomas SmithProvider # VA000401008820(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Lee WeinsteinProvider # VA000401007794(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Julian WillisProvider # VA000401005083(1)801 Greenbrier ParkwayChesapeake, VA 23320757-547-3003Paul YehProvider # VA000401410551(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270**Peter ZagurskyProvider # VA000401411371(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002Vanessa HartmanProvider # VA000401414686(1)801 Greenbrier ParkwayChesapeake, VA 23320757-547-3003Vicki McMillanProvider # VA000401008728(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Warren SachsProvider # VA000401004189(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Wakeshi BensonProvider # VA000401411415(1)12230 Iron Bridge Rd #BChester, VA 23831804-404-3804**Paul BrinserProvider # VA000401410148(2)11971 Ironbridge RoadChester, VA 23831804-748-6350Brian BurkeProvider # VA000401413575(2)4301 W Hundred RdChester, VA 23831804-562-2667Steven CastroProvider # VA000401008598(2)2930 West Hundred RdChester, VA 23831804-751-0146Kristin DavidsonProvider # VA000401414458(2)2930 West Hundred RdChester, VA 23831804-751-0146Manik KhistiProvider # VA000401412158(1)10322 Iron Bridge RdChester, VA 23831804-717-5400**Robert O'NeillProvider # VA000401412441(2)11971 Ironbridge RoadChester, VA 23831804-748-63504ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
CHESTER (cont’d)COLONIAL HEIGHTSFAIRFAX (cont’d)**Robert O'NeillProvider # VA000401004685(2)11971 Ironbridge RoadChester, VA 23831804-748-6350Nirmal BogollagamaProvider # VA000401410789(4)798 Southpark Blvd #26Colonial Heights, VA 23834804-520-1177****Rashmi GaneshProvider # VA000401415538(1)11050 Lee HwyFairfax, VA 22030703-520-6376**Bradley TrotterProvider # VA000401008539(2)11971 Ironbridge RoadChester, VA 23831804-748-6350*Scott GerardProvider # VA000401007068(1)2425 Boulevard #8Colonial Heights, VA 23834804-520-0000****Rashmi GaneshProvider # VA000401415538(1)14337 New Brook DrSuite 200Fairfax, VA 22030703-214-2113Gordon WitcherProvider # VA000401005310(2)4301 W Hundred RdChester, VA 23831804-562-2667James GlaserProvider # VA000401005115(4)798 Southpark Blvd #26Colonial Heights, VA 23834804-520-1177CHESTERFIELD*Ellen OertelProvider # VA000401007706(1)2425 Boulevard #8Colonial Heights, VA 23834804-520-0000**Stephen BrownProvider # VA000401007582(1)10110 Iron Bridge RoadChesterfield, VA 23832804-768-9000Travis FarberProvider # VA000401416153(68)2930 West Hundred RdChester, VA 23831804-751-0146Davis GardnerProvider # VA000401412847(1)7205 Hancock Village DrChesterfield, VA 23832804-332-6310*Scott GerardProvider # VA000401007068(2)10320 Memory LnChesterfield, VA 23832804-796-1136DUMFRIES**Phuong NguyenProvider # VA000401412250(1)11050 Lee HwyFairfax, VA 22030703-520-6376Xinsheng ZhuProvider # VA000401411645(1)17606 Main StSte 200Dumfries, VA 22026703-445-1999**Phuong NguyenProvider # VA000401412250(1)14377 Newbrook Dr.STE 200Fairfax, VA 22030703-214-2113DUNN LORINGYasamin RasoolProvider # VA000401416128(1)14337 Newbrook DrSuite 200Fairfax, VA 22030703-214-2113Carl FriddleProvider # VA000401416372(2)2230 Gallows RdSuite 120Dunn Loring, VA 22027703-573-8664FAIRFAXMitchell GrimmerProvider # VA000401415649(28)7205 Hancock Village DrChesterfield, VA 23832804-332-6310Brian ChaseProvider # VA000401401927(1)1150 Lee HwyFairfax, VA 22030703-520-6376*Ellen OertelProvider # VA000401007706(2)10320 Memory LnChesterfield, VA 23832804-796-1136**Moein Jabbar DarjaniProvider # VA000401413097(1)14337 Newbrook DrSte 200Fairfax, VA 22030703-214-2113COLONIAL HEIGHTSRalph AndersonProvider # VA000401008749(2)556 Southpark BlvdColonial Heights, VA 23834804-526-2702Mahdi MojarradProvider # VA000401416679(1)14337 Newbrook DrSte 200Fairfax, VA 22030703-214-2113**Moein Jabbar DarjaniProvider # VA000401413097(1)11050 Lee HighwayFairfax, VA 22030703-520-6376Mahsa ShahidiProvider # VA000401415821(1)14337 Newbrook Dr.STE 200Fairfax, VA 22030703-214-2113Alex SharifianProvider # VA000401415880(1)14337 Newbrook Dr.Suite 200Fairfax, VA 22030703-214-2113Jainy VakhariaProvider # VA000401415256(1)14337 Newbrook DrSte 200Fairfax, VA 22030703-214-21135ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
FALLS CHURCHFREDERICKSBURGGAINESVILLEJoshua AndersonProvider # VA000401412572(1)3701 S George Mason DrSte C7NFalls Church, VA 22041703-998-8826Anwar AhmadProvider # VA000401410145(1)27 S Gateway Dr#121Fredericksburg, VA 22406540-693-4904Yusur Al-TekreetiProvider # VA000401416598(1)8140 Stonewall Shops SquareGainesville, VA 20155571-295-8279Jhosdyn BarraganProvider# VA000401415701(1)3701 S George Mason DrSTE #C7NFalls Church, VA 22041703-998-8826Ayman AdeebProvider # VA000401413285(1)27 S Gateway Dr#121Fredericksburg, VA 22406540-693-4904Eliana Cuellar-CordovaProvider # VA000401413574(1)3701 S George Mason DrSte C7NFalls Church, VA 22041703-998-8826Richard ByrdProvider # VA000401007026(2)927 Maple Grove DrSte 111Fredericksburg, VA 22407540-786-0051Joan Pino De Las CasasProvider # VA000401414222(1)3701 S George Mason DrSte #C7NFalls Church, VA 22041703-998-8826Angela DiazProvider # VA000401412527(1)5830 Harrison RdFredericksburg, VA 22407540-710-0400**Eugene GregoryProvider # VA000401004539(1)6231 Leesburg Pike #402Falls Church, VA 22044703-534-2744Shiva KermanshiProvider # VA000401410790(1)6060 Arlington BlvdFalls Church, VA 22044703-237-0060*Tu-Quynh NguyenProvider # VA000401410610(1)311 Park Ave #3Falls Church, VA 22046703-534-4884*Richard PollockProvider # VA000401007979(1)311 Park Ave #3Falls Church, VA 22046703-534-4884Homan SolemaninejadProvider # VA000401410638(1)6060 Arlington BlvdFalls Church, VA 22044703-237-0060Carla Zamora-RojasProvider# VA000401412958(1)3701 S George Mason DrSTE #C7NFalls Church, VA 22041703-998-8826Camilo DuarteProvider # VA000401412057(1)5830 Harrison RdFredericksburg, VA 22407540-710-0400Syed HussainiProvider # VA000401412740(2)927 Maple Grove DrSte 111Fredericksburg, VA 22407540-786-0051Madhusudhan KasipathyProvider # VA000401414354(1)27 S Gateway Dr#121Fredericksburg, VA 22406540-693-4904Bomi KimProvider # VA000401416117(1)27 S Gateway Dr#121Fredericksburg, VA 22406540-693-4904Carter RichardsProvider # VA000401008839(1)974 Bragg RdFredericksburg, VA 22407540-785-5885Tasha WilloughbyProvider # VA000401411109(1)2557 Cowan BlvdFredericksburg, VA 22401540-551-5550Gursimran BhangraProvider # VA000401415905(1)8140 Stonewall Shops SquareGainesville, VA 20155571-298-8279*Moein Jabbar DarjaniProvider # VA000401413097(1)8140 Stonewall Shops SquareGainesville, VA 20155714-845-8890****Rashmi GaneshProvider # VA000401415538(1)8140 Stonewall Shops SquareGainesville, VA 20155571-295-8276****Fadi HasanProvider # VA000401413459(2)7915 Lake Manassas Dr #207Gainesville, VA 20155****Justin HardisonProvider # VA000401413670(2)7915 Lake Manassas Dr #207Gainesville, VA 20155**Steve HuangProvider # VA000401415752(1)8140 Stonewall Shops SquareGainesville, VA 20155571-295-8279****Jean-Claude KharmoucheProvider # VA000401008809(2)7915 Lake Manassas Dr #207Gainesville, VA 20155Hicham MekouarProvider # VA000401411070(1)7462 Limestone DrGainesville, VA 20155703-753-3346Mike NguyenProvider # VA000401413735(1)8140 Stonewall Shops SquareGainesville, VA 20155571-298-8279**Phuong NguyenProvider # VA000401412250(1)8140 Stonewall Shops SquareGainesville, VA 20155571-295-82796ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
GAINESVILLE (cont’dGLEN ALLEN (cont’d)GLEN ALLEN (cont’d)Ali ShahrestaniProvider # VA000401415528(1)8140 Stonewall Shops SquareGainesville, VA 20155571-298-8279**Monroe HarrisProvider # VA000401007107(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Mimi ParkProvider # VA000401412922(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Jae-Woo JungProvider # VA000401416138(1)8140 Stonewall Shops SquareGainesville, VA 20155571-298-8279Munira JiwaniProvider # VA000401413868(2)10101 Brooke Rd#804-AGlenn Allen, VA 23059804-266-2400GLEN ALLENOmar AbuhajlehProvider # VA000401412655(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400**Neil AgnihotriProvider # VA000401412743(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Farheen AminaProvider # VA000401415337(2)10101 Brooke Rd#804-AGlenn Allen, VA 23059804-266-2400Smriti BajajProvider # VA000401413916(2)5201-B Hickory Park DrGlen Allen, VA 23059804-747-4200*****Young J. CoeProvider # VA000401412988(2)10101 Brooke Rd#804-AGlenn Allen, VA 23059804-266-2400Nasser DamirchiProvider # VA000401008636(2)5243 Hickory Park DrSte DGlen Allen, VA 23059804-270-5005**William DymonProvider # VA000401008625(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Gultaj GrewalProvider # VA000401414211(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Crystal JoyceProvider # VA000401415678(2)3944 Springfield RdGlen Allen, VA 23060804-240-5214**Kanyon KeeneyProvider # VA000401006889(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Manik KhistiProvider # VA000401412158(1)3938 Springfield RdGlen Allen, VA 23060840-747-7400Elizabeth MeiProvider # VA000401008096(3)10170 Staples Mill RdSte BGlen Allen, VA 23060804-726-1870**Lawrence MetzgerProvider # VA000401007540(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Parastu MirmonsefProvider # VA000401412150(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Julius MorrisonProvider # VA000401006978(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Leonard NunnallyProvider # VA000401411817(1)11531 Nuckols RdSte BGlen Allen, VA 23059804-747-0908Saumitra SaravanaProvider # VA000401411038(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Farshid SoltanianProvider # VA000401008668(2)3944 Springfield RdGlen Allen, VA 23060804-270-5214Harry Tatoian JrProvider # VA000401414742(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Kim VanProvider # VA000401416121(1)3938 Springfield RdGlen Allen, VA 23060804-747-7400Mahsa VarshoviProvider # VA000401415568(2)10101 Brook Rd#804Glen Allen, VA 23059804-266-2400Richard VillaProvider # VA000401008076(1)10120 West Broad St #LGlen Allen, VA 23060804-747-0137**Damon WatsonProvider # VA000401412132(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061**Bryan WheelerProvider # VA000401416025(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061**Ross WlodawskyProvider # VA000401410693(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-80617ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
GLEN ALLEN (cont’d)HAMPTON (cont’d)HAMPTON (cont’d)Maryam ZareiProvider # VA000401410952(2)5201-B Hickory Park DrGlen Allen, VA 23059804-747-4200****Michael KokorelisProvider # VA000401005924(1)2113 Hartford RoadHampton, VA 23666757-827-1572Marcus YoungProvider # VA000401413904(1)907 Big Bethel RdHampton, VA 23666757-838-5999HAMPTONElias LlerandiProvider # VA000401411857(1)907 Big Bethel RdHampton, VA 23666757-838-5999HAYESDonovan CavesProvider # VA000401414055(1)907 Big Bethel RdHampton, VA 23666757-838-5999William ChengProvider # VA000401416280(1)21 Towne Centre WayHampton, VA 23666757-838-9140John ChungProvider # VA000401008234(6)1959 E Pembroke AveHampton, VA 23663757-723-6565Curtis DaileyProvider # VA000401410187(1)2118 Executive DrHampton, VA 23666757-826-5075Richard DonzellProvider # VA000401005565(1)2021 A Cunningham DrSte 6Hampton, VA 23666757-826-7600Ceceil GallopProvider # VA000401005874(1)3709 Kecoughtan RoadHampton, VA 23669757-722-8507Joelle Hendrickson-HairstonProvider # VA000401412630(1)907 Big Bethel RdHampton, VA 23666757-838-5999Yujin JungProvider # VA000401414547(6)1959 E Pembroke AveHampton, VA 23663757-723-6565Rajni KapoorProvider# VA000401414188(1)907 Big Bethel RdHampton, VA 23666757-838-5999Lorenzo ModesteProvider # VA000401007928(1)2238 W Todds St # CHampton, VA 23666757-825-6098Arya NamboodiriProvider # VA000401414098(1)907 Big Bethel RdHampton, VA 23666757-838-5999John ChungProvider # VA000401008234(4)4732 George Washington Mem HwySte AHayes, VA 23072804-693-9055Yujin JungProvider # VA000401414547(4)4732 George Washington Mem HwySte AHayes, VA 23072804-693-9055HENRICOKyeong ParkProvider # VA000401411191(1)21 Towne Centre WayHampton, VA 23666757-838-9140Jesse HarrisProvider # VA000401411059(2)3400 Hayden Park LaneHenrico, VA 23233804-506-3636Donald RobinsonProvider # VA000401006982(1)3709 Kecoughtan RdHampton, VA 23669757-722-8507Richard SedwickProvider # VA000401413236(2)3400 Hayden Park LaneHenrico, VA 23233804-506-3636Jon ScottProvider # VA000401005160(1)1186 Big Bethel RdHampton, VA 23666757-825-6280HERNDONJon ScottProvider # VA000401005160(5)2108 Hartford RdHampton, VA 23666757-825-6280**Bradley TrotterProvider # VA000401008539(1)3000 Coliseum Dr, Ste 204Hampton, VA 23666757-838-3975James WatkinsProvider # VA000401004948(2)2207 Executive DrSte CHampton, VA 23666757-827-5225Jasper WattsProvider # VA000401005412(1)907 Big Bethel RdHampton, VA 23666757-838-5999Mazin AlayssamiProvider # VA000401008416(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115*Hashim AlhassanyProvider # VA000541772568(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Zaynab Al-QuraishiProvider # VA000401415493(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115***Annapurna BondalapatiProvider # VA000401415769(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-01158ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
HERNDON (cont’d)HERNDON (cont’d)HOPEWELL (cont’d)Jason BurkesProvider # VA000401416380(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Mariam NaeemProvider # VA000401414996(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115**Robert O'neillProvider # VA000401004685(4)502 N 6Th AveHopewell, VA 23860804-541-7837Jerry BurtonProvider # VA000401414373(1)907 Big Bethel RdHampton, VA 23666757-838-5999Jung ParkProvider # VA000401411939(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115****Karim ChaddadProvider # VA000401411750(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115**Joseph DevylderProvider # VA000438000161(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115*Ali EghtesadiProvider # VA000401413851(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Sama HamdoonProvider # VA000401415776(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Syed HussainiProvider # VA000401412740(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Dominique KnoxProvider # VA000401415685(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115*Kevin KunzProvider # VA000401415373(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115**Ashish PatelProvider # VA000401411990(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115**Bradley TrotterProvider # VA000401008539(4)502 N 6Th AveHopewell, VA 23860804-541-7837IVORJohn WilloughbyProvider # VA000401412434(1)8579 Ivor RdIvor, VA 23866757-859-9070LEESBURGHima-Bindu ReddyProvider # VA000401411155(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Lisa RosemanProvider # VA000401416326(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115HOPEWELLDean GarfieldProvider # VA000401008965(1)21 Loudon St SeLeesburg, VA 20175703-777-4443****Fadi HasanProvider # VA000401413459(3)2 Cardinal Park Dr SE #102BLeesburg, VA 20175****Justin HardisonProvider # VA000401413670(3)2 Cardinal Park Dr SE #102BLeesburg, VA 20175Nirmal BogollagamaProvider # VA000401410789(8)5303 Plaza Dr #103Hopewell, VA 23860804-458-5047****Jean-Claude KharmoucheProvider # VA000401008809(3)2 Cardinal Park Dr SE #102BLeesburg, VA 20175**Paul BrinserProvider # VA000401410148(4)502 N 6Th AveHopewell, VA 23860804-541-7837Barry MaharajProvider # VA000401410305(2)19441 Golf Vista Plaza #130Leesburg, VA 20176703-723-7858Bradley DelphProvider # VA000401411891(8)5303 Plaza Dr #103Hopewell, VA 23860804-458-5047Anh PhamProvider # VA000401006304(2)19441 Golf Vista Plaza #130Leesburg, VA 20176703-723-7858Viet NguyenProvider # VA000401414425(8)5303 Plaza Dr #103Hopewell, VA 23860804-458-5047MANAKIN SABOT**Robert O'NeillProvider # VA000401412441(4)502 N 6th AveHopewell, VA 23860804-541-7837Sarah WilmerProvider # VA000401412878(1)27-A Briggs RdManakin Sabot, VA 23103804-784-23869ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
MANNASSASMECHANICSVILLE (cont’d)MECHANICSVILLE (cont’d)Eliana AndersonProvider # VA000401413574(1)9380 Forestwood LnSte EMannassas, VA 20110703-368-4344**William DymonProvider # VA000401008625(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Elizabeth MeiProvider # VA000401008096(1)9221 Chamberlayne RdMechanicsville, VA 23116804-427-7420Joshua AndersonProvider # VA000401412572(1)9380 Forestwood LnSte EMannassas, VA 20110703-368-4344*Timothy FinklerProvider # VA000401410445(3)7347 Bell Creek Rd#300Mechanicsville, VA 23111804-501-0501Jhosdyn BarraganProvider # VA000401415700(1)9380 Forestwood LnSte EMannassas, VA 20110703-368-4344*Jesse HarrisProvider # VA000401411059(1)9102 Rutland Green Way Ste AMechanicsville, VA 23116804-559-3636*Madelyn MorrisProvider # VA000401411163(3)7347 Bell Creek Rd#300Mechanicsville, VA 23111804-501-0501**Monroe HarrisProvider # VA000401007107(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061*Michael MorrisProvider # VA000401007677(3)7347 Bell Creek Rd#300Mechanicsville, VA 23111804-501-0501Munira JiwaniProvider # VA000401413868(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085Viet NguyenProvider # VA000401414425(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085Crystal JoyceProvider # VA000401415678(1)9097 Atlee Station Rd. Suite 120Mechanicsville, VA 23116804-559-3250George OleyProvider # VA000401005517(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Syed HussainiProvider # VA000401412740(1)10081 Market CirManassas, VA 20110703-383-0090MECHANICSVILLE**Neil AgnihotriProvider # VA000401412743(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Ralph AndersonProvider # VA000401008749(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Smriti BajajProvider # VA000401413916(1)9097 Atlee Station Rd #120Mechanicsville, VA 23116804-559-3250Nirmal BogollagamaProvider # VA000401410789(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085Scott CulpepperProvider # VA000401412784(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085**Kanyon KeeneyProvider # VA000401006889(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061**Lawrence MetzgerProvider # VA000401007540(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Reba OleyProvider # VA000401414880(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Stephen KopeloveProvider # VA000401005074(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Maitry ParikhProvider # VA000401415180(1)8220 Windmill Watch Dr.Mechanicsville, VA 23116804-746-1085*Harold MartinezProvider # VA000401410241(3)7347 Bell Creek Rd#300Mechanicsville, VA 23111804-501-0501Elizabeth PeroneProvider # VA000401416087(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011**Brian McAndrewProvider # VA000401410446(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Gregory PoquisProvider # VA000401008985(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-701110ALLVAREV 09.2019* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
MECHANICSVILLE (cont’d)MECHANICSVILLE (cont’d)MIDLOTHIAN (cont’d)Edward RossProvider # VA000401003660(1)7281 Hanover Green DrMechanicsville, VA 23111804-730-9444Lyla Rose WilbyProvider # VA000401411425(2)
Virginia DeltaCare Provider List ALEXANDRIA Sinan Aithraa Provider # VA000401416296(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 . Shiva Kermanshi Zaynab Al-Quraishi Provider # Provider # VA000401415493(1) 5249 Duke St 210 Alexandria, VA 22304 703-823-2413 Fawaad Chaudhry 3543 W Braddock Rd #E1 Provider # VA000401416336(1) 7696 Richmond .
