Internal Medicine Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0102202240 Issued in VA

Legal business name

INTERNAL MEDICINE GROUP LLC

Practice address

3301 Woodburn Rd
Suite 304
Annandale, VA 22003-1229

Phone

(703) 204-0355

Fax

(703) 204-0356

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tahir Shaikh, DO, MBBS

Title

Director

Phone

(703) 204-0355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1356601058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 CAIRO PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD",
            "address_2": "SUITE 304",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031229",
            "telephone_number": "703-204-0355",
            "fax_number": "703-204-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-204-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, MBBS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102202240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.