NORTHERN VIRGINIA GASTROENTEROLOGY AND HEPATOLOGY is a specialist in Alexandria, 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. NORTHERN VIRGINIA GASTROENTEROLOGY AND HEPATOLOGY NPI is 1093024010. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5254 DAWES AVE
ALEXANDRIA, VA
ZIP 22311-404
Phone: (301) 613-6351
The provider's authorized official is Amira Z Ali Ibrahim .
The authorized official title is Owner And Solo Practitioner and has the following contact phone number (301) 613-6351.
The CLIA number assigned to this NPI record is 49D0224254 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/26/2010 and was last updated on 9/26/2010.