Healthcare Provider Details

I. General information

NPI: 1275655607
Provider Name (Legal Business Name): DAVID A SAYLES MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 12/05/2020
Certification Date: 12/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 STEVENSON AVE STE 208
ALEXANDRIA VA
22304-3526
US

IV. Provider business mailing address

6000 STEVENSON AVE STE 208
ALEXANDRIA VA
22304-3526
US

V. Phone/Fax

Practice location:
  • Phone: 703-379-7215
  • Fax: 202-265-7804
Mailing address:
  • Phone: 703-379-7215
  • Fax: 202-265-7804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number0101057479
License Number StateVA

VIII. Authorized Official

Name: DAVID ANTHONY SAYLES
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 703-379-7215