Virginia Nursing Homes Specialists PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

0101241509 Issued in VA

Legal business name

VIRGINIA NURSING HOMES SPECIALISTS PLLC

Practice address

41544 Hoddesdon CT
Aldie, VA 20105-3097

Phone

(703) 542-2415

NPI assigned

Jan 18, 2016

Organization subpart

No

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

Authorized official

Name

Syed K Mahboob, M.D.

Title

Owner/Director

Phone

(703) 994-6655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1992162267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41544 HODDESDON CT",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053097",
            "telephone_number": "703-542-2415",
            "fax_number": "703-327-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41544 HODDESDON CT",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053097",
            "telephone_number": "703-542-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA NURSING HOMES SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "MAHBOOB",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "703-994-6655",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101241509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Aldie, VA
• Providers in Aldie, VA by specialty
• Geriatric Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.