Provider Demographics
NPI:1043403397
Name:ANEZ & BITAR MEDICAL PC
Entity Type:Organization
Organization Name:ANEZ & BITAR MEDICAL PC
Other - Org Name:TYSONS CORNER PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASMIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-356-4444
Mailing Address - Street 1:8365A GREENSBORO DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3530
Mailing Address - Country:US
Mailing Address - Phone:703-356-4444
Mailing Address - Fax:703-734-0129
Practice Address - Street 1:8365A GREENSBORO DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3530
Practice Address - Country:US
Practice Address - Phone:703-356-4444
Practice Address - Fax:703-734-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035273208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty