Axelrad, Andrew
Axelrad, Andrew is an individual health care provider with primary practice located at 11440 Commerce Park Dr Ll4, Reston VA 20191-1555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Axelrad, Andrew can be contacted via phone (703) 766-2650.Contact Information
Primary practice address
11440 Commerce Park Dr Ll4
Reston VA 20191-1555
Phone: (703) 766-2650
Fax: (703) 766-2654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 472345 | Virginia |
Profile Details
| NPI number | 1073579876 |
|---|---|
| LBN Legal business name | Axelrad, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Mar 9th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073579876 | NPPES |
| Virginia | MEDICAID | 016048480 |
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