| Freedman Mitchell Whittaker And Wu Mds | |
|
4660 Kenmore Ave Suite 1210 Alexandria VA 22304 | |
| (703) 461-0700 | |
| (703) 461-0803 |
| Full Name | Freedman Mitchell Whittaker And Wu Mds |
|---|---|
| Speciality | General Practice |
| Location | 4660 Kenmore Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Michael D Mitchell (PRESIDENT) |
| Authorized Official Contact | 7034610700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedman Mitchell Whittaker And Wu Mds 4660 Kenmore Ave Suite 1210 Alexandria VA 22304 Ph: (703) 461-0700 | Freedman Mitchell Whittaker And Wu Mds 4660 Kenmore Ave Suite 1210 Alexandria VA 22304 Ph: (703) 461-0700 |
| NPI Number | 1447335435 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447335435 | NPI | - | NPPES |
| 09850003 | Other | BCBS | |
| 889241 | Other | MAMSI HMO | |
| 289242 | Other | MAMSI PCP | |
| 09850001 | Other | BCBS | |
| 435495 | Other | ANTHEM | |
| 0101055657 | Other | VA LICENSE | |
| 289241 | Other | MAMSI PCP | |
| 220421 | Other | ANTHEM | |
| 286625 | Other | ANTHEM | |
| 889242 | Other | MAMSI HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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