MEDICARE: VIRGINIA INTERNAL MEDICINE INC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1992688964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA INTERNAL MEDICINE INC

Provider Business Mailing Address
First Line	:	6 E EAGER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-2506
Country	:	US
Telephone Number	:	410-870-9380
Fax Number	:	410-431-3550

Provider Business Practice Location Address
First Line	:	4310 FOREST HILL DR
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-5680
Country	:	US
Telephone Number	:	703-278-1001
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	AMR HOSSAM ELDIN BEHIRI
Credential	:	DO
Telephone Number	:	347-761-7200

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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