# TYSONS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1669747036
- **Authorized official:** FAIZA KADA M.D. (FOUNDER)
- **Authorized official phone:** (703) 436-8000

## Contact information

- **Practice address:** 8206 LEESBURG PIKE, SUITE 302, VIENNA, VA 22182-2614
- **Practice address phone:** (703) 436-8000
- **Practice address fax:** (703) 291-3311
- **Mailing address:** 8206 LEESBURG PIKE, SUITE 302, VIENNA, VA 22182-2614
- **Mailing address phone:** (703) 436-8000
- **Mailing address fax:** (703) 291-3311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0101235827 | VA | Yes |

## Other

- **Enumeration date:** 03/17/2012
- **Last updated:** 03/17/2012