INTERNAL MEDICINE PRACTICE P.C. NPI 1013121508

NPI Information

NPI: 1013121508
Provider Name: INTERNAL MEDICINE PRACTICE, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D0863267

Address:
8233 OLD COURTHOUSE RD
SUITE 170
VIENNA, VA
ZIP 22182
Phone: (703) 556-9318
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INTERNAL MEDICINE PRACTICE, P.C. is a primary care clinic center in Vienna, VA. INTERNAL MEDICINE PRACTICE, P.C. NPI is 1013121508. The provider is registered as an organization entity type.

The provider's business location address is:

8233 OLD COURTHOUSE RD
SUITE 170
VIENNA, VA
ZIP 22182-816
Phone: (703) 556-9318
Fax: (703) 448-8839

The provider's authorized official is Sandra Tirado .
The authorized official title is Physician and has the following contact phone number (703) 556-9318.

The CLIA number assigned to this NPI record is 49D0863267 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/14/2011.

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	261QP2300X	Clinic/Center	Primary Care	0101038420	VIRGINIA	Yes

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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