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FAIRFAX CARDIOLOGY PC NPI 1114974896


NPI Information

NPI: 1114974896
Provider Name: FAIRFAX CARDIOLOGY PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
10721 MAIN ST
SUITE 3200
FAIRFAX, VA
ZIP 22030
Phone: (703) 591-7770
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FAIRFAX CARDIOLOGY PC is a cardiovascular disease internal medicine in Fairfax, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. FAIRFAX CARDIOLOGY PC NPI is 1114974896. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10721 MAIN ST
SUITE 3200
FAIRFAX, VA
ZIP 22030-914
Phone: (703) 591-7770
Fax: (703) 591-8162

The provider's authorized official is Linda G Shanahan .
The authorized official title is Office Manager and has the following contact phone number (703) 591-7770.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 8/22/2020.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.