| Michael A Redding Md Ltd | |
|
6476 Landsdowne Ctr Alexandria VA 22315-5003 | |
| (571) 415-5200 | |
| (571) 415-5600 |
| Full Name | Michael A Redding Md Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 6476 Landsdowne Ctr, Alexandria, Virginia |
| Authorized Official Name and Position | Angela D Redding (OFFICE MANAGER) |
| Authorized Official Contact | 7032822243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Redding Md Ltd 8709 Mount Vernon Hwy Alexandria VA 22309-2217 Ph: (703) 360-7055 | Michael A Redding Md Ltd 6476 Landsdowne Ctr Alexandria VA 22315-5003 Ph: (571) 415-5200 |
| NPI Number | 1598946550 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 10/11/2022 |
| Medicare PECOS PAC ID | 9234150947 |
|---|---|
| Medicare Enrollment ID | O20051209000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598946550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101043490 (Virginia) | Primary |
| Provider Name | Michael Redding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457310120 PECOS PAC ID: 7214958925 Enrollment ID: I20051215000553 |
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