Provider Type Icon

PROGRESSIVE CRITICAL CARE MEDICINE LLC NPI 1679017255


NPI Information

NPI: 1679017255
Provider Name: PROGRESSIVE CRITICAL CARE MEDICINE, LLC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
4320 SEMINARY RD
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 504-3000
Get Directions

PROGRESSIVE CRITICAL CARE MEDICINE, LLC is a critical care medicine internal medicine in Alexandria, VA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. PROGRESSIVE CRITICAL CARE MEDICINE, LLC NPI is 1679017255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4320 SEMINARY RD
ALEXANDRIA, VA
ZIP 22304-535
Phone: (703) 504-3000

The provider's authorized official is Subodhkumar Sundaram .
The authorized official title is Physician and has the following contact phone number (703) 996-9964.

The enumeration date for this NPI number is 12/15/2016 and was last updated on 12/15/2016.


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
1207RC0200XInternal MedicineCritical Care 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

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.