Cardiac Care Associates Pc

LBN: Cardiac Care Associates Pc
Cardiac Care Associates Pc is an health care organization with primary practice located at 3023 Hamaker Ct Suite #100, Fairfax VA 22031. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Cardiac Care Associates Pc can be contacted via phone (703) 641-9161, or through Brooks, Kenneth M via phone (703) 641-9161.

Contact Information

Primary practice address
3023 Hamaker Ct Suite #100 Fairfax VA 22031
Phone: (703) 641-9161
Fax: (703) 641-0383
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Kenneth M Doctor of Medicine (MD)
Phone: (703) 641-9161

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1649381724
LBN Legal business name Cardiac Care Associates Pc
DBA Doing business as
Authorized official Brooks, Kenneth M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 22nd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649381724 NPPES
Virginia Other DA1708 RAIL ROAD MEDICARE ID

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