Provider Demographics
NPI:1467444984
Name:PI, JOHN I (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:I
Last Name:PI
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 1:9760 HATMARK CT
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-6059
Mailing Address - Country:US
Mailing Address - Phone:310-420-7258
Mailing Address - Fax:
Practice Address - Street 1:9760 HATMARK CT
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22181-6059
Practice Address - Country:US
Practice Address - Phone:240-506-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2017-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248320207PE0004X, 207PS0010X, 209800000X, 207P00000X, 202C00000X
CAG77118209800000X, 207P00000X
MDD84232207P00000X
OH35.070203207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101248320OtherVIRGINIA STATE MEDICAL BOARD
OH35.070203OtherOHIO STATE MEDICAL BOARD
CAG77118OtherCALIFORNIA STATE LICENSE
MDD84232OtherMARYLAND BOARD OF PHYSICIANS
MDD84232OtherMARYLAND BOARD OF PHYSICIANS