Children'S Multispecialty Clinic, PLC
Organization Active NPI Specialist · Herndon, VA
NPI 1700217684 · NPPES record last updated Mar 31, 2014
Key facts
- NPI
- 1700217684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 0101058336 (VA)
- Legal business name
- CHILDREN'S MULTISPECIALTY CLINIC, PLC
- Practice address
- 171 Elden Street, Ste. 2C4
Herndon, VA 20170 - Phone
- (571) 612-2606
- Fax
- (703) 481-5804
- NPI assigned
- Dec 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Hasan I. Abdallah., M.D.
- Title
- Medical Director
- Phone
- (703) 481-5801
Practitioners 6
-
Hasan Abdallah, MD
-
Jaheedah Aminah Roane, M.D.
-
Rahel Zubairi, MD
National Provider Directory
Locations
19465 Deerfield Ave
Ste 310
Leesburg, VA 20176
Phone (703) 724-0410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 0101058336 | VA | Yes |
Addresses
Primary practice location
171 Elden Street, Ste. 2C4
Herndon, VA 20170
Mailing address
P.O. Box 10066
MC Lean, VA 22102
Phone (571) 612-2600
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2014. 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.