Vip Imed Center

General Practice Physician · Fairfax, VA

Organization Active NPI

NPI number 1669804159

Practice location

8303 Arlington Blvd
Suite 110
Fairfax, VA 22031-4645
Phone
(703) 207-4646
Fax
(703) 563-7467

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NPI record

NPI
1669804159
Entity type
Organization (Type 2)
Enumeration date
August 6, 2013
Last updated
February 7, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 0101255440 VA
General Practice Physician 208D00000X 101055521 VA

Mailing address

8303 Arlington Blvd
Suite 110
Fairfax, VA 22031-2903
Phone
(703) 207-4646
Fax
(703) 563-7467

Authorized official

Name
Victoria Borisovna
Title
Executive Director
Phone
(703) 207-4646

About Vip Imed Center

Vip Imed Center is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 8303 Arlington Blvd, Suite 110, Fairfax, VA 22031-4645. The NPI number 1669804159 was assigned on August 6, 2013 and the record was last updated on February 7, 2014.

Vip Imed Center lists 2 licenses in the registry: #0101255440 (VA) for General Practice Physician; #101055521 (VA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Victoria Borisovna, Executive Director.

Frequently asked questions

What is the NPI number of Vip Imed Center?

The NPI number is 1669804159.

What is the phone number of Vip Imed Center?

The phone number listed for the practice location is (703) 207-4646.

Where is Vip Imed Center located?

8303 Arlington Blvd, Suite 110, Fairfax, VA 22031-4645.

What is the taxonomy code for Vip Imed Center?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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