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PARK AVENUE MEDICAL GROUP P.C. NPI 1881862472


NPI Information

NPI: 1881862472
Provider Name: PARK AVENUE MEDICAL GROUP, P.C.
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
313 PARK AVE
SUITE 202
FALLS CHURCH, VA
ZIP 22046
Phone: (703) 533-3010
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PARK AVENUE MEDICAL GROUP, P.C. is an endocrinology and diabetes and metabolism internal medicine in Falls Church, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PARK AVENUE MEDICAL GROUP, P.C. NPI is 1881862472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

313 PARK AVE
SUITE 202
FALLS CHURCH, VA
ZIP 22046-327
Phone: (703) 533-3010
Fax: (703) 538-4316

The provider's authorized official is Firoozeh Hosseini Shahidi .
The authorized official title is Medical Director and has the following contact phone number (703) 533-3010.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/15/2008.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
1E57384MEDICARE UPINVIRGINIA
26006892MEDICAIDVIRGINIA
3085000MEDICARE PINDISTRICT OF COLUMBIA

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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