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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1578006821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC

Provider Business Mailing Address
First Line	:	700 S WASHINGTON ST STE 300
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4287
Country	:	US
Telephone Number	:	703-940-3364
Fax Number	:	703-717-4055

Provider Business Practice Location Address
First Line	:	700 S WASHINGTON ST STE 300
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4287
Country	:	US
Telephone Number	:	703-940-3364
Fax Number	:	703-717-4055

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

Provider Enumeration Date	:	11/18/2016
Last Update Date	:	01/19/2026

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