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Organization
FREEDMAN MITCHELL WHITTAKER AND WU MDS
Active
Organization
FREEDMAN MITCHELL WHITTAKER AND WU MDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D MITCHELL MD (PRESIDENT)
(703) 461-0700
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE 1210, ALEXANDRIA, VA 22304
(703) 461-0700
(703) 461-0803
Mailing address
4660 KENMORE AVE, SUITE 1210, ALEXANDRIA, VA 22304
(703) 461-0700
(703) 461-0803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101055657
VA LICENSE
—
01
—
09850001
BCBS
—
01
—
09850003
BCBS
—
01
—
220421
ANTHEM
—
01
—
286625
ANTHEM
—
01
—
289241
MAMSI PCP
—
01
—
289242
MAMSI PCP
—
01
—
435495
ANTHEM
—
01
—
889241
MAMSI HMO
—
01
—
889242
MAMSI HMO
—
Enumeration date
10/26/2006
Last updated
09/11/2025
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