Michael Mogadam, M.D., Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101020264 Issued in VA

Legal business name

MICHAEL MOGADAM, M.D., INC.

Practice address

4660 Kenmore Ave
Suite #1206
Alexandria, VA 22304-1313

Phone

(703) 370-1400

Fax

(703) 370-9742

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Mogadam

Title

President

Phone

(703) 370-1400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407048507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE #1206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-370-1400",
            "fax_number": "703-370-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE #1206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-370-1400",
            "fax_number": "703-370-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MOGADAM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOGADAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-370-1400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101020264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazia Mian
• Michael a Redding MD LTD
• Michael a. Royfe M D P C
• Michael D. Lieberman, M.D.,PLLC
• Michael K. Obeng, D.D.S., PLLC
• Michael V. Massa, M.Ed., CCC Inc.
• Christina Stephanie Michael, D.O.
• Katherine Michaels, BCBA
• Sam Ross Michaels
• Melannieann Michaud, LCSW

• Gastroenterology Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.