Healthcare Provider Details

I. General information

NPI: 1679608061
Provider Name (Legal Business Name): MEDICS USA MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44050 ASHBURN SHOPPING PLZ STE 179
ASHBURN VA
20147-7916
US

IV. Provider business mailing address

16882 CLARKES GAP RD
PAEONIAN SPRINGS VA
20129-1711
US

V. Phone/Fax

Practice location:
  • Phone: 703-726-9401
  • Fax: 540-338-1975
Mailing address:
  • Phone: 540-338-3360
  • Fax: 540-338-1975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: XIAMISIYA AIKEBAI
Title or Position: BILLING MANAGER
Credential:
Phone: 202-483-4400