Vesper Medical Associates of Virginia

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

VESPER MEDICAL ASSOCIATES OF VIRGINIA

Practice address

24440 Stone Springs Blvd
Dulles, VA 20166

Phone

(571) 349-4000

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Milad Lali Pooran, M.D.

Title

Principle, Managing Partner

Phone

(202) 805-1822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1356790497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 ADLER CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24440 STONE SPRINGS BLVD",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "20166",
            "telephone_number": "571-349-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESPER MEDICAL ASSOCIATES OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "POORAN",
        "authorized_official_first_name": "MILAD",
        "authorized_official_middle_name": "LALI",
        "authorized_official_title_or_position": "PRINCIPLE, MANAGING PARTNER",
        "authorized_official_telephone_number": "202-805-1822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Internal Medicine) Physician in Dulles, VA
• Providers in Dulles, VA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.