Organization
INTERNAL MEDICINE PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA TIRADO M.D. (PHYSICIAN)
(703) 556-9318
Entity
Organization
Contact information
Practice address
8233 OLD COURTHOUSE RD, SUITE 170, VIENNA, VA 22182-3816
(703) 556-9318
(703) 448-8839
Mailing address
8233 OLD COURTHOUSE RD, SUITE 170, VIENNA, VA 22182-3816
(703) 556-9318
(703) 448-8839
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101038420
VA
Other
Enumeration date
05/10/2007
Last updated
07/14/2011
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