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ENDOCRINE AND DIABETES CENTER P.C. NPI 1154487007


NPI Information

NPI: 1154487007
Provider Name: ENDOCRINE AND DIABETES CENTER P.C.
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 49D0978854

Address:
301 MAPLE AVE W
SUITE 120
VIENNA, VA
ZIP 22180
Phone: (703) 938-8885
Get Directions

ENDOCRINE AND DIABETES CENTER P.C. is an endocrinology and diabetes and metabolism internal medicine in Vienna, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENDOCRINE AND DIABETES CENTER P.C. NPI is 1154487007. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 MAPLE AVE W
SUITE 120
VIENNA, VA
ZIP 22180-301
Phone: (703) 938-8885
Fax: (703) 242-2437

The provider's authorized official is Ali M Safa .
The authorized official title is President and has the following contact phone number (703) 938-8885.

The CLIA number assigned to this NPI record is 49D0978854 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 10/14/2013.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism101040528VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C62504MEDICARE UPIN
2G01228MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
3C08745MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA

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

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