Agape Medical Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AGAPE MEDICAL CLINIC LLC

Practice address

6349 Lincolnia Rd
Alexandria, VA 22312-1533

Phone

(703) 498-0050

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Sun Ok Lee

Title

Owner

Phone

(703) 498-0050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1861995128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 LINCOLNIA RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121533",
            "telephone_number": "703-498-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6349 LINCOLNIA RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121533",
            "telephone_number": "703-498-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "OK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-498-0050"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romita Afzal
• Ag Healthcare Inc,
• Ag Home Care LLC
• Agape Health Management Inc
• Agape Health Management, Inc
• Agape Pharmacy
• Aditi Agarwal, MD
• Helen Ezinne Agbapuruonwu, DS
• Tabeth Aghaji-Enweremadu, LMSW
• Allison Agloro

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.