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NORTHERN VIRGINIA GASTROENTEROLOGY AND HEPATOLOGY NPI 1093024010


NPI Information

NPI: 1093024010
Provider Name: NORTHERN VIRGINIA GASTROENTEROLOGY AND HEPATOLOGY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 49D0224254

Address:
5254 DAWES AVE
ALEXANDRIA, VA
ZIP 22311
Phone: (301) 613-6351
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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.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist0101244137VIRGINIAYes

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: 4/28/2024

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