Organization Active NPI

Precision Nuclear Diagnostics, Inc.

  • Internal Medicine Physician
  • Herndon, VA
National Provider Identifier
1467573550
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101058418 Issued in VA
Legal business name
PRECISION NUCLEAR DIAGNOSTICS, INC.
Practice address
102 Elden St
Suite-16
Herndon, VA 20170-4868
Phone
(703) 629-9046
Fax
(703) 793-6544
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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
(703) 629-9046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0101058418 VA Primary

Addresses

Primary practice location

102 Elden St
Suite-16
Herndon, VA 20170-4868

Mailing address

102 Elden St
Suite-16
Herndon, VA 20170-4868
Phone (703) 629-9046

National Provider Directory

National Provider Directory

Locations

102 Elden St
Herndon, VA 20170
Phone (703) 689-2481

44035 Riverside Pkwy
Ste 340
Leesburg, VA 20176
Phone (703) 724-9376

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1320624000000",
    "number": "1467573550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST",
            "address_2": "SUITE-16",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704868",
            "telephone_number": "703-629-9046",
            "fax_number": "703-793-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST",
            "address_2": "SUITE-16",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704868",
            "telephone_number": "703-629-9046",
            "fax_number": "703-793-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION NUCLEAR DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-11-07",
        "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": "703-629-9046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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 Nov 7, 2011; 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.