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Contact Information

CARDEA PHYSICAL MEDICINE, PLLC
12030 N SHORE DR
RESTON, VA20190-4987
 Phone: 702-426-0101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CARDEA PHYSICAL MEDICINE, PLLC

NPI Number 1598056343
LBN Legal business name CARDEA PHYSICAL MEDICINE, PLLC
Authorized official SUE BEDI - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2011
Last updated 04/27/2011 - About 15 years ago
Identifiers
VA License # 0104556266
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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