Healthcare Provider Details

I. General information

NPI: 1699934489
Provider Name (Legal Business Name): ANA MARIA BORN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7619 LITTLE RIVER TPKE STE 1000
ANNANDALE VA
22003-2629
US

IV. Provider business mailing address

7619 LITTLE RIVER TPKE STE 1000
ANNANDALE VA
22003-2629
US

V. Phone/Fax

Practice location:
  • Phone: 703-256-5680
  • Fax: 703-465-8168
Mailing address:
  • Phone: 703-256-5680
  • Fax: 703-465-8168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101249422
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: