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EVERGREEN OB/GYN P.C. NPI 1205853983


NPI Information

NPI: 1205853983
Provider Name: EVERGREEN OB/GYN P.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
4328 EVERGREEN LN
SUITE E
ANNANDALE, VA
ZIP 22003
Phone: (703) 941-5070
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EVERGREEN OB/GYN P.C. is an obstetrics gynecology in Annandale, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. EVERGREEN OB/GYN P.C. NPI is 1205853983. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4328 EVERGREEN LN
SUITE E
ANNANDALE, VA
ZIP 22003-257
Phone: (703) 941-5070
Fax: (703) 941-8955

The provider's authorized official is Thuy N Ho .
The authorized official title is Physician and has the following contact phone number (703) 941-5070.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology0101032935VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1509174MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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