Agnes E Holland in Fairfax - Diagnostic Radiology

Agnes E Holland - NPI 1760572457

Agnes E Holland is a Diagnostic Radiology in Fairfax, Virginia. Agnes E Holland practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Agnes E Holland is 1760572457. The last update date is 2008-08-12.

Agnes E Holland's current location address is 3015 Williams Drive, Fairfax, Virginia. You can contact this provider via phone number 7036419133 and fax number 7032805098. The mailing address for Agnes E Holland is 3015 Williams Drive, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Agnes E Holland
Address 3015 Williams Drive, Fairfax, Virginia
Phone Number 7036419133
Fax Number 7032805098
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1760572457
Provider Enumeration Date 2006-10-13
Last Updated Date 2008-08-12

Provider Mailing Address Detail

Address 3015 Williams Drive
City Fairfax
State Virginia (VA)
Post Code 22031
Phone Number 7036419133
Fax Number 7032805098

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 101240501
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00376889 VA RR MEDICARE
1760572457 VA --
10011034 VA SENTARA
5905226 NC --
10011034 VA OPTIMA
139178 VA BCBS

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FAQs about Agnes E Holland

What is the unique identifier code issued to Agnes E Holland by the Centers for Medicare & Medicaid Services (CMS)?

The Agnes E Holland has been assigned the NPI (National Provider Identifier) 1760572457. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Agnes E Holland?

The Agnes E Holland is physically situated at 3015 Williams Drive, in the city of Fairfax, state of VA, with the postal code 22031.

What is Agnes E Holland's specialized field of practice, and what is the corresponding taxonomy classification code?

The Agnes E Holland's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1760572457 to Agnes E Holland?

The Centers for Medicare & Medicaid Services assigned the 1760572457 to Agnes E Holland on 2006-10-13.

As of what date was the information pertaining to Agnes E Holland, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Agnes E Holland, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-12.

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