Provider Demographics
NPI:1821410994
Name:MEDICAL MANAGEMENT INC
Entity Type:Organization
Organization Name:MEDICAL MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYLOE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-275-2019
Mailing Address - Street 1:7115 LEESBURG PIKE
Mailing Address - Street 2:STE 201
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2367
Mailing Address - Country:US
Mailing Address - Phone:703-879-1500
Mailing Address - Fax:
Practice Address - Street 1:7115 LEESBURG PIKE
Practice Address - Street 2:STE 201
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2367
Practice Address - Country:US
Practice Address - Phone:703-879-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty