Magnus Heart and Vascular, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101242816 Issued in VA

Legal business name

MAGNUS HEART AND VASCULAR, INC.

Practice address

4004 Genesee PL
Suite 105
Woodbridge, VA 22192-8303

Phone

(855) 739-9953

Fax

(571) 659-9445

NPI assigned

Aug 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tseday Sirak, MD

Title

Director

Phone

(855) 739-9953

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1992137590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 GENESEE PL",
            "address_2": "SUITE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928303",
            "telephone_number": "855-739-9953",
            "fax_number": "571-659-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 GENESEE PL",
            "address_2": "SUITE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928303",
            "telephone_number": "855-739-9953",
            "fax_number": "571-659-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUS HEART AND VASCULAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "SIRAK",
        "authorized_official_first_name": "TSEDAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "855-739-9953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101242816",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "VA",
            "license": "0101242816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Maclomotey
• Kayla C. Macri, D.M.D.
• Tiffany Maddox, SPECIALIST
• Krishna Prasad Madiraju, M.D.FAAP
• Ingrid Madison, LGSW
• Laura Mahabir
• Kathleen Kearney Mahar, PH. D., LCSW
• Yasir Mahboba
• Syed Khurram Mahboob, M.D
• Desiree Debora Mahmoud

• Cardiovascular Disease Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.