Provider Demographics
NPI:1285040360
Name:UNIVERSITY OF VIRGINIA MEDICAL CENTER
Entity Type:Organization
Organization Name:UNIVERSITY OF VIRGINIA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFADEL
Authorized Official - Middle Name:MOHAMMD
Authorized Official - Last Name:ALSHAIBANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-409-1525
Mailing Address - Street 1:2145 INGLEWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1215 LEE STREET
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903
Practice Address - Country:US
Practice Address - Phone:434-409-1525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital