Healthcare Provider Details

I. General information

NPI: 1124933544
Provider Name (Legal Business Name): ALLIED INDEPENDENT PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5904 RICHMOND HWY STE 350
ALEXANDRIA VA
22303-1866
US

IV. Provider business mailing address

2031 PAISLEY CT
WOODBRIDGE VA
22191-4453
US

V. Phone/Fax

Practice location:
  • Phone: 571-232-4949
  • Fax:
Mailing address:
  • Phone: 571-232-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EVAN DAVIES
Title or Position: OWNER
Credential: DMSC., PH.D.
Phone: 571-232-4949