Organization
MCLAREN MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULKAREEM I KRAIDY M.D. (OWNER)
(240) 417-6424
Entity
Organization
Contact information
Practice address
3606 FOREST DR, STE B, ALEXANDRIA, VA 22302-1005
(240) 417-6424
Mailing address
5140 PORT TOBACCO RD, NANJEMOY, MD 20662-3317
(240) 417-6424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101236776
VA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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