Organization
GERIATRICS GROUP OF NORTHERN VIRGINIA,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD A. ALI M.D. (PRESIDENT)
(703) 338-9526
Entity
Organization
Contact information
Practice address
611 S. CARLIN SPRINGS ROAD, SUIT # 514, ARLINGTON, VA 22204-1064
(571) 527-0932
(571) 527-0824
Mailing address
5720 MERTON COURT, # 371, ALEXANDRIA, VA 22311-5956
(571) 527-0932
(571) 527-0824
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
010234864
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010205875
—
VA
01
—
11448304
CAQH #
VA
05
—
9127105
—
VA
Enumeration date
09/19/2006
Last updated
02/16/2011
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