Healthcare Provider Details
I. General information
NPI: 1043920713
Provider Name (Legal Business Name): XCEL PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2022
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3517 S JEFFERSON ST
FALLS CHURCH VA
22041-3106
US
IV. Provider business mailing address
3517 S JEFFERSON ST
FALLS CHURCH VA
22041-3106
US
V. Phone/Fax
- Phone: 703-349-5200
- Fax:
- Phone: 703-981-3492
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ZIAD
AKL
Title or Position: OWNER
Credential: MD
Phone: 703-349-5200