Healthcare Provider Details

I. General information

NPI: 1518894294
Provider Name (Legal Business Name): CARTE MEDICAL CA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

7950 JONES BRANCH DR
MC LEAN VA
22102-3265
US

IV. Provider business mailing address

11110 SUNSET HILLS RD UNIT 2112
RESTON VA
20190-9997
US

V. Phone/Fax

Practice location:
  • Phone: 202-897-4232
  • Fax: 571-384-4996
Mailing address:
  • Phone: 203-430-0557
  • Fax: 571-384-4996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GINA SIDDIQUI
Title or Position: PRESIDENT
Credential: MD
Phone: 203-430-0557