=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649207010
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SAMEER NAGDA MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2006
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2800 S SHIRLINGTON RD STE 1100
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22206-3605
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-842-6500
-----------------------------------------------------
Fax | 703-521-3415
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2800 S SHIRLINGTON RD STE 1100
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22206-3605
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-842-6500
-----------------------------------------------------
Fax | 703-521-3415
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207XX0005X
-----------------------------------------------------
Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
-----------------------------------------------------
License Number | 0101242777
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------