Provider Demographics
NPI:1952392870
Name:UY, ADRIAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:L
Last Name:UY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S SHIRLINGTON RD
Mailing Address - Street 2:STE 410
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3601
Mailing Address - Country:US
Mailing Address - Phone:703-533-2222
Mailing Address - Fax:703-533-3421
Practice Address - Street 1:2800 S SHIRLINGTON RD
Practice Address - Street 2:STE 410
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3601
Practice Address - Country:US
Practice Address - Phone:703-533-2222
Practice Address - Fax:703-533-3421
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234677207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG86390Medicare UPIN
011890ZW6Medicare PIN
VAG86390Medicare UPIN
00X408S01Medicare PIN
VA011890F16Medicare ID - Type Unspecified
VA005886091Medicaid