Northern Virginia Gastroenterology and Hepatology

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101244137 Issued in VA

Legal business name

NORTHERN VIRGINIA GASTROENTEROLOGY AND HEPATOLOGY

Practice address

5254 Dawes Ave
Alexandria, VA 22311-1404

Phone

(301) 613-6351

NPI assigned

Sep 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amira Z Ali Ibrahim, M.D.

Title

Owner and Solo Practitioner

Phone

(301) 613-6351

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285459200000",
    "number": "1093024010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 E LAKE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322732",
            "telephone_number": "301-613-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5254 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111404",
            "telephone_number": "301-613-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA GASTROENTEROLOGY AND HEPATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-26",
        "last_updated": "2010-09-26",
        "status": "A",
        "authorized_official_last_name": "ALI IBRAHIM",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER AND SOLO PRACTITIONER",
        "authorized_official_telephone_number": "301-613-6351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101244137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.