Provider Demographics
NPI:1770523532
Name:MAGEE, PATRICK FRANCIS ADRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:FRANCIS ADRIAN
Last Name:MAGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5514 ALMA LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-4000
Mailing Address - Country:US
Mailing Address - Phone:703-813-1242
Mailing Address - Fax:703-916-0592
Practice Address - Street 1:5514 ALMA LN
Practice Address - Street 2:SUITE 200
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-4000
Practice Address - Country:US
Practice Address - Phone:703-813-1242
Practice Address - Fax:703-916-0592
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042390207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5827396Medicaid
VA5827396Medicaid
000J44H02Medicare ID - Type Unspecified