MEDICARE: AFM FAMILY & INTERNAL MEDICINE PC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1881542371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFM FAMILY & INTERNAL MEDICINE PC

Provider Business Mailing Address
First Line	:	3620 JOSEPH SIEWICK DR STE 203
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1756
Country	:	US
Telephone Number	:	703-941-0267
Fax Number	:	703-941-2018

Provider Business Practice Location Address
First Line	:	3620 JOSEPH SIEWICK DR STE 203
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1756
Country	:	US
Telephone Number	:	703-941-0267
Fax Number	:

Authorized Official
Title or Position	:	BILLING AGENT
Name	:	LADRENA SEAY
Credential	:	BILLING AGENT
Telephone Number	:	732-997-9589

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	06/02/2026

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