Healthcare Provider Details

I. General information

NPI: 1730112822
Provider Name (Legal Business Name): ACCESS MEDICINE AND NEPHROLOGY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/07/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7002 LITTLE RIVER TPKE STE B
ANNANDALE VA
22003-3200
US

IV. Provider business mailing address

187 JEB DR
WINCHESTER VA
22602-6648
US

V. Phone/Fax

Practice location:
  • Phone: 703-973-5790
  • Fax:
Mailing address:
  • Phone: 703-973-5790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0101058320
License Number StateVA

VIII. Authorized Official

Name: SYED N ISHAQ
Title or Position: CEO
Credential: MD
Phone: 703-204-1990