Provider Demographics
NPI:1396450607
Name:ATRIUM HEALTHCARE GROUP LLC
Entity type:Organization
Organization Name:ATRIUM HEALTHCARE GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-256-4141
Mailing Address - Street 1:7501 LITTLE RIVER TURNPIKE STE#303
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3547
Mailing Address - Country:US
Mailing Address - Phone:703-256-4141
Mailing Address - Fax:
Practice Address - Street 1:7501 LITTLE RIVER TPKE STE 303
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2923
Practice Address - Country:US
Practice Address - Phone:703-256-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty