MEDICARE: VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician

General Provider Information

NPI Number	:	1144415480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC

Provider Business Mailing Address
First Line	:	1715 N GEORGE MASON DR STE 409
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3665
Country	:	US
Telephone Number	:	703-558-6077
Fax Number	:	703-558-6015

Provider Business Practice Location Address
First Line	:	1635 N GEORGE MASON DR
Second Line	:	SUITE 190
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3601
Country	:	US
Telephone Number	:	703-558-6077
Fax Number	:	703-558-6015

Authorized Official
Title or Position	:	SYS. AVP MANAGED CARE/CONTRACTING
Name	:	BRENDA BABBITT
Credential	:
Telephone Number	:	703-558-5590

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	01/12/2026

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