MEDICARE: MCLEAN CARDIOLOGY, P.C.

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	174400000X	Specialist	0101052422	VA

General Provider Information

NPI Number	:	1720098759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCLEAN CARDIOLOGY, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 20955
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4106
Country	:	US
Telephone Number	:	703-827-8688
Fax Number	:	703-827-8344

Provider Business Practice Location Address
First Line	:	8230 BOONE BLVD STE 203
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2647
Country	:	US
Telephone Number	:	703-827-8688
Fax Number	:	703-827-8344

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AFSANE HADDAD
Credential	:	M.D.
Telephone Number	:	703-827-8688

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	05/29/2025

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