Healthcare Provider Details

I. General information

NPI: 1780706960
Provider Name (Legal Business Name): VIRGINIA HOSPITALIST PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HOSPITAL DR
WARRENTON VA
20186-3027
US

IV. Provider business mailing address

4094 MAJESTIC LN PMB 298
FAIRFAX VA
22033-2104
US

V. Phone/Fax

Practice location:
  • Phone: 540-349-5675
  • Fax:
Mailing address:
  • Phone: 703-631-1745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH SERVIDEO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 703-631-1745