Provider Demographics
NPI:1669643631
Name:NORTHERN VIRGINA FAMILY MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:NORTHERN VIRGINA FAMILY MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AKBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-671-7772
Mailing Address - Street 1:611 S CARLIN SPRINGS RD STE 401
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-1087
Mailing Address - Country:US
Mailing Address - Phone:703-671-7772
Mailing Address - Fax:703-671-2025
Practice Address - Street 1:611 S CARLIN SPRINGS RD STE 401
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1087
Practice Address - Country:US
Practice Address - Phone:703-671-7772
Practice Address - Fax:703-671-2025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01877Medicare PIN