| Madison Family Medicine, Pc | |
|
2555 Chain Bridge Rd Vienna VA 22181 | |
| (703) 261-6550 | |
| (703) 261-6279 |
| Full Name | Madison Family Medicine, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2555 Chain Bridge Rd, Vienna, Virginia |
| Authorized Official Name and Position | Hamid S Assadi (PRESIDENT) |
| Authorized Official Contact | 7032616550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Family Medicine, Pc 2555 Chain Bridge Rd Vienna VA 22181 Ph: (703) 261-6550 | Madison Family Medicine, Pc 2555 Chain Bridge Rd Vienna VA 22181 Ph: (703) 261-6550 |
| NPI Number | 1023252624 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 04/27/2009 |
| Medicare PECOS PAC ID | 1951451566 |
|---|---|
| Medicare Enrollment ID | O20090602000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023252624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101242970 (Virginia) | Primary |
| Provider Name | Hamid S Assadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659390524 PECOS PAC ID: 6507927316 Enrollment ID: I20081211000110 |
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