Mark Emanuel Vasiliadis in Reston - Family Medicine
Mark Emanuel Vasiliadis - NPI 1639241771
Mark Emanuel Vasiliadis is a Family Medicine in Reston, Virginia. Mark Emanuel Vasiliadis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Emanuel Vasiliadis is 1639241771. The last update date is 2022-08-25.
Mark Emanuel Vasiliadis's current location address is 12040 S Lakes Dr Ste 204, Reston, Virginia. You can contact this provider via phone number 7032300347 and fax number 7032300350. The mailing address for Mark Emanuel Vasiliadis is 12040 S Lakes Dr Ste 204, Reston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Emanuel Vasiliadis |
|---|---|
| Address | 12040 S Lakes Dr Ste 204, Reston, Virginia |
| Phone Number | 7032300347 |
| Fax Number | 7032300350 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639241771 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2022-08-25 |
Provider Mailing Address Detail
| Address | 12040 S Lakes Dr Ste 204 |
|---|---|
| City | Reston |
| State | Virginia (VA) |
| Post Code | 201911236 |
| Phone Number | 7032300347 |
| Fax Number | 7032300350 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101050406 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 593776473 | VA | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Emanuel Vasiliadis by the Centers for Medicare & Medicaid Services?
The Mark Emanuel Vasiliadis has been issued the NPI (National Provider Identifier) 1639241771 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mark Emanuel Vasiliadis's physical address?
The Mark Emanuel Vasiliadis is physically located at 12040 S Lakes Dr Ste 204, in the city of Reston, VA, with the postal code 201911236.
What is Mark Emanuel Vasiliadis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Emanuel Vasiliadis is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When was the Mark Emanuel Vasiliadis's 1639241771 issued?
The Mark Emanuel Vasiliadis's 1639241771 was issued on 2006-11-14.
As of what date were the details pertaining to Mark Emanuel Vasiliadis last refreshed?
The information related to the Mark Emanuel Vasiliadis, including its address, specialty, and other relevant details, was last updated on 2022-08-25.