Healthcare Provider Details

I. General information

NPI: 1720881105
Provider Name (Legal Business Name): PHYSICIANS' AI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19490 SANDRIDGE WAY STE 120
LANSDOWNE VA
20176-3469
US

IV. Provider business mailing address

817 CARRIE CT
MC LEAN VA
22101-1507
US

V. Phone/Fax

Practice location:
  • Phone: 571-918-0533
  • Fax:
Mailing address:
  • Phone: 703-725-0345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DMITRI ADLER
Title or Position: CEO
Credential:
Phone: 703-725-0345