Keith Sumner Albertson, M.D.
Individual provider Active NPI Specialist · Manassas, VA
NPI 1265459341 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265459341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 9379 Forestwood LN
Manassas, VA 20110-4701 - Phone
- (703) 393-1667
- Fax
- (703) 361-2429
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174400000X | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith S Albertson MD PC | Specialist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | VA | Yes |
Addresses
Primary practice location
9379 Forestwood LN
Manassas, VA 20110-4701
Mailing address
9379 Forestwood LN
Manassas, VA 20110-4701
Phone (703) 393-1667
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.