# VIRGINIA CARDIOVASCULAR GROUP, LLC

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

## Provider details

- **NPI number:** 1982010302
- **Authorized official:** TAREK ABOU GHAZALA MD (PRESIDENT)
- **Authorized official phone:** (703) 939-9942

## Contact information

- **Practice address:** 19450 DEERFIELD AVE, STE 335, LEESBURG, VA 20176-6820
- **Practice address phone:** (703) 939-9942
- **Mailing address:** 19450 DEERFIELD AVE, STE 335, LEESBURG, VA 20176-6820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0101237500 | VA | Yes |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 07/07/2014