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VAN DORN PEDIATRICS PC NPI 1639379159


NPI Information

NPI: 1639379159
Provider Name: VAN DORN PEDIATRICS, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA
ZIP 22302
Phone: (703) 933-0555
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VAN DORN PEDIATRICS, PC is a primary care clinic center in Alexandria, VA. VAN DORN PEDIATRICS, PC NPI is 1639379159. The provider is registered as an organization entity type.

The provider's business location address is:

2500 N VAN DORN ST STE 102
ALEXANDRIA, VA
ZIP 22302-601
Phone: (703) 933-0555
Fax: (703) 933-0999

The provider's authorized official is Moheb Andrawis .
The authorized official title is Director and has the following contact phone number (703) 933-0555.

The enumeration date for this NPI number is 7/23/2007 and was last updated on 6/25/2020.


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
1261QP2300XClinic/CenterPrimary Care0101232408VIRGINIAYes

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: 11/14/2023

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.