| Family Med-surg Clinic, Llc. | |
|
10721 Main St Suite 2100 Fairfax VA 22030-6914 | |
| (703) 802-6700 | |
| (703) 802-6701 |
| Full Name | Family Med-surg Clinic, Llc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10721 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Ayad A Alsaadi (OWNER) |
| Authorized Official Contact | 7038026700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Med-surg Clinic, Llc. Po Box 847 Fairfax VA 22038-0847 Ph: (703) 802-6700 | Family Med-surg Clinic, Llc. 10721 Main St Suite 2100 Fairfax VA 22030-6914 Ph: (703) 802-6700 |
| NPI Number | 1265584346 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 12/02/2009 |
| Medicare PECOS PAC ID | 8224092267 |
|---|---|
| Medicare Enrollment ID | O20041118000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265584346 | NPI | - | NPPES |
| 010132371 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ayad A Alsaadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982627980 PECOS PAC ID: 1850355892 Enrollment ID: I20041122000851 |
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