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ALEXANDRIA ADULT PRIMARY CARE LLC NPI 1184807869


NPI Information

NPI: 1184807869
Provider Name: ALEXANDRIA ADULT PRIMARY CARE LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
5249 DUKE ST
STE 100D
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 212-4825
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ALEXANDRIA ADULT PRIMARY CARE LLC is an internal medicine in Alexandria, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ALEXANDRIA ADULT PRIMARY CARE LLC NPI is 1184807869. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5249 DUKE ST
STE 100D
ALEXANDRIA, VA
ZIP 22304-926
Phone: (703) 212-4825
Fax: (703) 212-4829

The provider's authorized official is Kantha R Stoll .
The authorized official title is Owner/physician and has the following contact phone number (703) 212-4825.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 9/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine0101057481VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE4029MEDICARE PINVIRGINIA
2D10147191MEDICAIDVIRGINIA
3G02794MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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