NOVA RECONSTRUCTIVE AND COSMETIC SURGERY PLLC NPI 1013379874

NPI Information

  • NPI: 1013379874
  • Provider Name: NOVA RECONSTRUCTIVE AND COSMETIC SURGERY PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 8180 GREENSBORO DR
    #1015
    MC LEAN, VA
    ZIP 22102
  • Phone: (703) 543-9252

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NPI Details

NOVA RECONSTRUCTIVE AND COSMETIC SURGERY PLLC is a specialist in Mc Lean, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NOVA RECONSTRUCTIVE AND COSMETIC SURGERY PLLC NPI is 1013379874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8180 GREENSBORO DR
#1015
MC LEAN, VA
ZIP 22102-888
Phone: (703) 543-9252

The provider's authorized official is Marwan Khalifeh .
The authorized official title is Member and has the following contact phone number (202) 486-2261.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.

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
1174400000XSpecialist0101240322VIRGINIAYes

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: 3/30/2025

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