Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinical Dermatology Center, LLC

Organization Dermatology Physician · NPI 1902428709

Clinical Dermatology Center, LLC is a Dermatology Physician in Chantilly, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14500 Avion Pkwy Ste 100
Chantilly, VA 20151-1108
Phone: (703) 705-7000
Fax: (703) 763-7255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1902428709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikhail Pavlov — Practice Manager · (410) 371-6302
NPI enumeratedMay 14, 2020
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020
Mailing address14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108

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