RUTH AVIGAN MANN M.D. NPI 1073674594

NPI Information

  • NPI: 1073674594
  • Provider Name: RUTH AVIGAN MANN, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 11130 SUNRISE VALLEY DR
    SUITE #150
    RESTON, VA
    ZIP 20191
  • Phone: (703) 262-0100

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NPI Details

Ruth Avigan Mann, M.D. is an adolescent medicine pediatrics in Reston, VA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Ruth Avigan Mann, M.D. NPI is 1073674594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11130 SUNRISE VALLEY DR
SUITE #150
RESTON, VA
ZIP 20191-398
Phone: (703) 262-0100
Fax: (703) 262-0333

The enumeration date for this NPI number is 12/12/2006 and was last updated on 7/8/2007.

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
12080A0000XPediatricsAdolescent Medicine0101037069VIRGINIAYes

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: 11/21/2025

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