NPIMap

Organization Active NPI

Professional Healthcare Associates PLLC

  • Specialist
  • Herndon, VA
National Provider Identifier
1164543377
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101058418 Issued in VA
Legal business name
PROFESSIONAL HEALTHCARE ASSOCIATES PLLC
Practice address
13505 Dulles Technology Dr
Suite 1a
Herndon, VA 20171-3401
Phone
(304) 308-1368
Fax
(304) 323-2589
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Dr. Nadeem Gul Qazi, M.D.
Title
President
Phone
(304) 308-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101058418 VA Primary

Addresses

Primary practice location

13505 Dulles Technology Dr
Suite 1a
Herndon, VA 20171-3401

Mailing address

13505 Dulles Technology Dr
Suite 1a
Herndon, VA 20171-3401
Phone (304) 308-1368

National Provider Directory

National Provider Directory
Tax ID family
Professional Healthcare Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1164543377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 DULLES TECHNOLOGY DR",
            "address_2": "SUITE 1A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713401",
            "telephone_number": "304-308-1368",
            "fax_number": "304-323-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 DULLES TECHNOLOGY DR",
            "address_2": "SUITE 1A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713401",
            "telephone_number": "304-308-1368",
            "fax_number": "304-323-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTHCARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_middle_name": "GUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-308-1368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101058418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.