# CAPITOL ANESTHESIA GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174828529
- **Authorized official:** AHMED HEGAB MD (MEMBER)
- **Authorized official phone:** (703) 716-1097

## Contact information

- **Practice address:** 3028 JAVIER RD STE 400, FAIRFAX, VA 22031-4622
- **Practice address phone:** (703) 716-1097
- **Practice address fax:** (703) 828-0942
- **Mailing address:** PO BOX 221732, CHANTILLY, VA 20153-1732
- **Mailing address phone:** (703) 716-1097
- **Mailing address fax:** (703) 828-0942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 01/17/2011
- **Last updated:** 03/05/2021