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NORTHERN VIRGINIA INTERNAL MEDICINE AND PEDIATRICS P.C NPI 1942484894


NPI Information

NPI: 1942484894
Provider Name: NORTHERN VIRGINIA INTERNAL MEDICINE AND PEDIATRICS, P.C
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 49D1076157

Address:
2501 N GLEBE RD
#301
ARLINGTON, VA
ZIP 22207
Phone: (703) 527-6664
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NORTHERN VIRGINIA INTERNAL MEDICINE AND PEDIATRICS, P.C is a general practice in Arlington, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NORTHERN VIRGINIA INTERNAL MEDICINE AND PEDIATRICS, P.C NPI is 1942484894. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2501 N GLEBE RD
#301
ARLINGTON, VA
ZIP 22207-558
Phone: (703) 527-6664
Fax: (703) 527-0655

The provider's authorized official is Mary Ellen Gallagher .
The authorized official title is Cheif Medical Officer and has the following contact phone number (703) 527-6664.

The CLIA number assigned to this NPI record is 49D1076157 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 3/6/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice0101235679VIRGINIAYes

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
1141750MEDICARE 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: 5/5/2024

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.