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NPI Code Detail

MEDICARE: MR. GILEAD SEGEV

MEDICARE:  MR. GILEAD  SEGEV
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
1207R00000XInternal Medicine Physician0101235074VA

General Provider Information

NPI Number : 1780816421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GILEAD SEGEV
Provider Business Mailing Address
First Line : 8230 OLD COURTHOUSE RD STE 550
Second Line :
City : VIENNA
State : VA
Zip : 22182-3854
Country : US
Telephone Number : 703-547-9357
Fax Number : 703-942-6067
Provider Business Practice Location Address
First Line : 5510 CHEROKEE AVE STE 260
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22312-2320
Country : US
Telephone Number : 205-964-2924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2009
Last Update Date : 02/27/2026

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Directions to “ MR. GILEAD SEGEV ” Practice Location

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