Dominion Medical Center, LLC
Organization Active NPI Internal Medicine Physician · King George, VA
NPI 1114109261 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1114109261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- DOMINION MEDICAL CENTER, LLC
- Practice address
- 11463 Ridge Rd
King George, VA 22485-4078 - Phone
- (301) 870-3540
- Fax
- (301) 392-1726
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Maryann Ayers
- Title
- Administrator
- Phone
- (301) 870-3540
Practitioners 12
-
Nather B. Ansari, M.D.
-
Hasan Farkhani, MD
-
Srikanth Mahavadi, DPM
-
Hashim Z. Eldadah, M.D.
-
Abdul Hamid Fadul, M.D.
-
Allen J Huffman, DC, PT
-
Hassan F Naom, M.D.
-
William Harry Wertman Jr., D.C, DIBCN, FIBE
National Provider Directory
Locations
35 Colonial Ave
Colonial Beach, VA 22443
Phone (301) 870-3626
11463 Ridge Rd
King George, VA 22485
Phone (540) 775-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
11463 Ridge Rd
King George, VA 22485-4078
Mailing address
11463 Ridge Rd
P.O. Box 999
King George, VA 22485-4078
Phone (301) 870-3540
Other providers in King George, VA
- Rosier Davis Dedwylder
- Dental Professionals of Virginia, P.C.
- Rushvi Shailesh Desai
- Amy Hargrave Dickerson
- Linda Wiley Dicola
- James William Donahue
- Aleta M Dorm
- Amber Dorsey
- Randy Dumornay
- Sara K Dunn
All providers in King George, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.