| Medical Specialists Of Northern Virginia Inc | |
|
8101 Hinson Farm Rd Ste 219 Alexandria VA 22306-3406 | |
| (703) 360-8383 | |
| (703) 360-0263 |
| Full Name | Medical Specialists Of Northern Virginia Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8101 Hinson Farm Rd Ste 219, Alexandria, Virginia |
| Authorized Official Name and Position | Kelly Grewing (ADMINISTRATOR) |
| Authorized Official Contact | 9406341699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Specialists Of Northern Virginia Inc 8101 Hinson Farm Rd Ste 219 Alexandria VA 22306-3406 Ph: (703) 360-8383 | Medical Specialists Of Northern Virginia Inc 8101 Hinson Farm Rd Ste 219 Alexandria VA 22306-3406 Ph: (703) 360-8383 |
| NPI Number | 1912191420 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 09/19/2022 |
| Medicare PECOS PAC ID | 0749327146 |
|---|---|
| Medicare Enrollment ID | O20091016000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912191420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Aytan Mammadova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437503976 PECOS PAC ID: 2860731221 Enrollment ID: I20220822001188 |
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