Provider Demographics
NPI:1679608061
Name:MEDICS USA MEDICAL CENTER, INC
Entity type:Organization
Organization Name:MEDICS USA MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:XIAMISIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:AIKEBAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-483-4400
Mailing Address - Street 1:16882 CLARKES GAP RD
Mailing Address - Street 2:
Mailing Address - City:PAEONIAN SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:20129-1711
Mailing Address - Country:US
Mailing Address - Phone:540-338-3360
Mailing Address - Fax:540-338-1975
Practice Address - Street 1:44050 ASHBURN SHOPPING PLZ STE 179
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7916
Practice Address - Country:US
Practice Address - Phone:703-726-9401
Practice Address - Fax:540-338-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherTAX ID NUMBER