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CHILDREN'S HEART INSTITUTE NPI 1922058668


NPI Information

NPI: 1922058668
Provider Name: CHILDREN'S HEART INSTITUTE

Doing Business As: CHILDREN'S HEART CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
171 ELDEN STREET, STE. 2C4
HERNDON, VA
ZIP 20170
Phone: (571) 612-2600
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CHILDREN'S HEART INSTITUTE is a specialist in Herndon, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHILDREN'S HEART INSTITUTE NPI is 1922058668. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Heart Clinic.

The provider's business location address is:

171 ELDEN STREET, STE. 2C4
HERNDON, VA
ZIP 20170
Phone: (571) 612-2600
Fax: (571) 266-4096

The provider's authorized official is Hasan I. Abdallah .
The authorized official title is Medical Director and has the following contact phone number (703) 481-5801.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/31/2014.


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
1174400000XSpecialist0101058336VIRGINIAYes

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
1F63079MEDICARE UPINVIRGINIA
2006716512MEDICAIDVIRGINIA

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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