TRAHOS MEDICAL ENTERPRISES PLLC NPI 1386723583

NPI Information

NPI: 1386723583
Provider Name: TRAHOS MEDICAL ENTERPRISES PLLC

Former Legal Business Name: MICHAEL C TRAHOS DO

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
1707 OSAGE ST
SUITE 203
ALEXANDRIA, VA
ZIP 22302
Phone: (703) 998-4913
Get Directions

TRAHOS MEDICAL ENTERPRISES PLLC is a family medicine in Alexandria, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRAHOS MEDICAL ENTERPRISES PLLC NPI is 1386723583. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Michael C Trahos Do.

The provider's business location address is:

1707 OSAGE ST
SUITE 203
ALEXANDRIA, VA
ZIP 22302-607
Phone: (703) 998-4913
Fax: (703) 931-8171

The provider's authorized official is Michael C Trahos .
The authorized official title is Sole Member and has the following contact phone number (703) 998-4913.

The CLIA number assigned to this NPI record is 49D1045122 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 4/10/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	0102035626	VIRGINIA	No
2	207QG0300X	Family Medicine	Geriatric Medicine	0102035626	VIRGINIA	No
3	207Q00000X	Family Medicine		0102035626	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	182247	OTHER	VIRGINIA	ANTHEM BC/BS OF VA
2	8857-0001	OTHER	DISTRICT OF COLUMBIA	BC/BS OF NATIONAL CAPITAL AREA
3	8138371	OTHER	VIRGINIA	MDIPA/OPTIMUM CHOICE HMO
4	280953	OTHER	VIRGINIA	UNITED HEALTHCARE
5	DD8984	MEDICARE PIN
6	4088139	OTHER	VIRGINIA	AETNA
7	144441	OTHER	VIRGINIA	SOUTHERN HEALTH SERV. INC.
8	2138371	OTHER	VIRGINIA	UNITED HEALTHCARE/ONE NET PPO
9	976064	OTHER	VIRGINIA	MAILHANDLERS
10	G02178	MEDICARE PIN
11	010201021	MEDICAID	VIRGINIA
12	1433740	OTHER	VIRGINIA	CIGNA
13	470178	OTHER	VIRGINIA	AETNA HMO
14	D84002	MEDICARE UPIN
15	503495	OTHER	VIRGINIA	UNICARE

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: 5/5/2024

NPI Synchronization or Removal

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