| Seddigheh A. Feisee Md Pc | |
|
301 Maple Ave W Ste 420 Vienna VA 22180-4301 | |
| (703) 569-4133 | |
| (703) 440-8829 |
| Full Name | Seddigheh A. Feisee Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Maple Ave W Ste 420, Vienna, Virginia |
| Authorized Official Name and Position | Seddigheh A. Feisee (OWNER) |
| Authorized Official Contact | 7035694133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seddigheh A. Feisee Md Pc 301 Maple Ave W Ste 420 Vienna VA 22180-4301 Ph: (703) 319-4162 | Seddigheh A. Feisee Md Pc 301 Maple Ave W Ste 420 Vienna VA 22180-4301 Ph: (703) 569-4133 |
| NPI Number | 1588677959 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 1254418221 |
|---|---|
| Medicare Enrollment ID | O20080402000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588677959 | NPI | - | NPPES |
| 010315336 | Medicaid | VA | |
| 010090326 | Medicaid | VA | |
| 49D0716392 | Other | VA | CLINICAL LABARATORY IMPROVEMENT AMENDMENTS (CLIA) |
| 006060277 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101025770 (Virginia) | Primary |
| 310400000X | Assisted Living Facility | 0101025770 (Virginia) | Secondary |
| Provider Name | Seddigheh A Feisee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770595480 PECOS PAC ID: 2365529336 Enrollment ID: I20080402000187 |
Vienna Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Park Street, Suite 300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457 | |
Internal Medicine Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8233 Old Courthouse Rd, Suite 170, Vienna, VA 22182 Phone: 703-556-9318 Fax: 703-448-8839 | |
Madison Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2555 Chain Bridge Rd, Vienna, VA 22181 Phone: 703-261-6550 Fax: 703-261-6279 | |
Emergency Usa Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Spring Hill Rd, Vienna, VA 22182 Phone: 703-883-0900 Fax: 703-883-0586 | |
Reach Specialties, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8230 Boone Blvd Ste 170, Vienna, VA 22182 Phone: 571-310-2502 | |
Endocrine And Diabetes Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Maple Ave W, Suite 120, Vienna, VA 22180 Phone: 703-938-8885 Fax: 703-242-2437 | |
Virginia Functional Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Pine St Se, Suite 320, Vienna, VA 22180 Phone: 703-938-1421 Fax: 703-938-1424 |