MEDICARE: MICHAEL A REDDING MD LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101043490	VA

General Provider Information

NPI Number	:	1598946550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL A REDDING MD LTD

Provider Business Mailing Address
First Line	:	8709 MOUNT VERNON HWY
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22309-2217
Country	:	US
Telephone Number	:	703-360-7055
Fax Number	:

Provider Business Practice Location Address
First Line	:	6476 LANDSDOWNE CTR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22315-5003
Country	:	US
Telephone Number	:	571-415-5200
Fax Number	:	571-415-5600

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ANGELA D REDDING
Credential	:
Telephone Number	:	703-282-2243

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	03/11/2025

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