MADISON FAMILY MEDICINE PC NPI 1023252624

NPI Information

NPI: 1023252624
Provider Name: MADISON FAMILY MEDICINE, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D1098223

Address:
2555 CHAIN BRIDGE RD
VIENNA, VA
ZIP 22181
Phone: (703) 261-6550
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MADISON FAMILY MEDICINE, PC is a primary care clinic center in Vienna, VA. MADISON FAMILY MEDICINE, PC NPI is 1023252624. The provider is registered as an organization entity type.

The provider's business location address is:

2555 CHAIN BRIDGE RD
VIENNA, VA
ZIP 22181
Phone: (703) 261-6550
Fax: (703) 261-6279

The provider's authorized official is Hamid S Assadi .
The authorized official title is President and has the following contact phone number (703) 261-6550.

The CLIA number assigned to this NPI record is 49D1098223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 4/27/2009.

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	0101242970	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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