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LOUDOUN MEDICAL GROUP PC NPI 1174759278


NPI Information

NPI: 1174759278
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: MITCHELL, WHITTAKER & WU, MDS

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 49D0917700

Address:
4660 KENMORE AVENUE, SUITE 1210
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 461-0700
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LOUDOUN MEDICAL GROUP, PC is an internal medicine in Alexandria, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LOUDOUN MEDICAL GROUP, PC NPI is 1174759278. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mitchell, Whittaker & Wu, Mds.

The provider's business location address is:

4660 KENMORE AVENUE, SUITE 1210
ALEXANDRIA, VA
ZIP 22304-311
Phone: (703) 461-0700
Fax: (703) 461-0803

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6010.

The CLIA number assigned to this NPI record is 49D0917700 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/3/2009 and was last updated on 4/24/2023.


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
1207R00000XInternal MedicineYes

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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