Organization
SEDDIGHEH A. FEISEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEDDIGHEH A. FEISEE (OWNER)
(703) 569-4133
Entity
Organization
Contact information
Practice address
301 MAPLE AVE W STE 420, VIENNA, VA 22180-4301
(703) 569-4133
(703) 440-8829
Mailing address
301 MAPLE AVE W STE 420, VIENNA, VA 22180-4301
(703) 319-4162
(703) 319-4163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101025770
VA
310400000X
Assisted Living Facility
0101025770
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006060277
—
VA
05
—
010090326
—
VA
05
—
010315336
—
VA
01
—
49D0716392
CLINICAL LABARATORY IMPROVEMENT AMENDMENTS (CLIA)
VA
Enumeration date
08/15/2006
Last updated
07/24/2024
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