Provider Demographics
NPI:1366449522
Name:DUC, JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:DUC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 TELESTAR CT
Mailing Address - Street 2:#300
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1260
Mailing Address - Country:US
Mailing Address - Phone:703-591-1688
Mailing Address - Fax:703-591-1445
Practice Address - Street 1:2901 TELESTAR CT STE 100
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1261
Practice Address - Country:US
Practice Address - Phone:703-208-9797
Practice Address - Fax:703-591-0829
Is Sole Proprietor?:No
Enumeration Date:2005-07-02
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052717207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC060064305OtherRAILROAD MEDICARE DC#
MD699251000Medicaid
VA1366449522Medicaid
VA060064305OtherRAILROAD MEDICARE VA #
DC031745800Medicaid
VAG21533Medicare UPIN
VA1366449522Medicaid
DC007623C42Medicare PIN
DC060064305OtherRAILROAD MEDICARE DC#
VA010272114Medicaid
VA5859131Medicaid
VA005871786Medicaid
VA005869439Medicaid