Provider Demographics
NPI:1609204049
Name:DAVID W ALWAY MD
Entity Type:Organization
Organization Name:DAVID W ALWAY MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-502-8018
Mailing Address - Street 1:10319 WESTLAKE DR
Mailing Address - Street 2:SUITE 166
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6403
Mailing Address - Country:US
Mailing Address - Phone:301-502-8018
Mailing Address - Fax:949-863-5332
Practice Address - Street 1:4320 SEMINARY RD.
Practice Address - Street 2:INOVA ALEXANDRIA HOSPITAL
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1535
Practice Address - Country:US
Practice Address - Phone:301-502-8018
Practice Address - Fax:949-863-5332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC276429Medicare PIN