Vivan Mai, NP-C
Individual provider Active NPI Family Medicine Physician · Clifton, VA
NPI 1770097628 · NPPES record last updated Nov 29, 2017
Key facts
- NPI
- 1770097628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0024175494 (VA)
- Practice address
- 7090 Balmoral Forest Rd
Clifton, VA 20124-1539 - Phone
- (703) 973-0291
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175494 | VA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0024175494 | VA | Yes |
Addresses
Primary practice location
7090 Balmoral Forest Rd
Clifton, VA 20124-1539
Mailing address
7090 Balmoral Forest Rd
Clifton, VA 20124-1539
Other providers in Clifton, VA
- Leena Khan
- Steven Jay Kutner
- Kim Kuykendall
- Kiley Michelle Lovelace
- Loving Crane LLC
- Kristin Dawn Mangeno
- Joseph Nicholas Martinez
- Beth Ellen Mayer
- Miriam McKain
- Anna Morrison
All providers in Clifton, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2017. 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.