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CARDIAC CARE ASSOCIATES PC NPI 1649381724


NPI Information

NPI: 1649381724
Provider Name: CARDIAC CARE ASSOCIATES PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3023 HAMAKER CT
SUITE #100
FAIRFAX, VA
ZIP 22031
Phone: (703) 641-9161
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CARDIAC CARE ASSOCIATES 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. CARDIAC CARE ASSOCIATES PC NPI is 1649381724. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3023 HAMAKER CT
SUITE #100
FAIRFAX, VA
ZIP 22031
Phone: (703) 641-9161
Fax: (703) 641-0383

The provider's authorized official is Kenneth M Brooks .
The authorized official title is Md Managing Partner and has the following contact phone number (703) 641-9161.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/22/2009.


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

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C08696MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
2DA1708OTHERVIRGINIARAIL ROAD MEDICARE ID
3G00388MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
4CG7306MEDICARE PINVIRGINIA

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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