Provider Demographics
NPI:1467713180
Name:A-1 FAMILY MEDICAL CENTER,LLC.
Entity Type:Organization
Organization Name:A-1 FAMILY MEDICAL CENTER,LLC.
Other - Org Name:FAMILY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAROONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBZWARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-916-1211
Mailing Address - Street 1:4810 BEAUREGARD ST
Mailing Address - Street 2:STE # 206 B
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-1709
Mailing Address - Country:US
Mailing Address - Phone:703-916-1211
Mailing Address - Fax:703-635-7456
Practice Address - Street 1:4810 BEAUREGARD ST
Practice Address - Street 2:STE # 206 B
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1709
Practice Address - Country:US
Practice Address - Phone:703-916-1211
Practice Address - Fax:703-635-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty