MEDICARE: CARDIOLOGY SPECIALISTS OF VIRGINIA

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	207RC0000X	Cardiovascular Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DA7234	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J423	OTHER		CAREFIRST

General Provider Information

NPI Number	:	1447311378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOLOGY SPECIALISTS OF VIRGINIA

Provider Business Mailing Address
First Line	:	6715 LITTLE RIVER TPKE STE 300
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-3546
Country	:	US
Telephone Number	:	703-751-6668
Fax Number	:	703-642-1049

Provider Business Practice Location Address
First Line	:	6715 LITTLE RIVER TPKE STE 300
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-3546
Country	:	US
Telephone Number	:	703-751-6668
Fax Number	:	703-642-1049

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL JOHN O BRIEN
Credential	:	MD
Telephone Number	:	703-823-6904

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	11/24/2020

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Directions to “CARDIOLOGY SPECIALISTS OF VIRGINIA ” Practice Location

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