Children'S Heart Clinic

LBN: Children'S Heart Institute
Children'S Heart Clinic is an health care organization with primary practice located at 171 Elden Street, Ste. 2C4 , Herndon VA 20170. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Children'S Heart Institute can be contacted via phone (571) 612-2600, or through Abdallah, Hasan I. via phone (703) 481-5801.

Contact Information

Primary practice address
171 Elden Street, Ste. 2C4 Herndon VA 20170
Phone: (571) 612-2600
Fax: (571) 266-4096
Website:
Map and Directions
Authorized official contact:
Name: Abdallah, Hasan I. Doctor of Medicine (MD)
Phone: (703) 481-5801

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101058336 Virginia

Profile Details

NPI number 1922058668
LBN Legal business name Children'S Heart Institute
DBA Doing business as Children'S Heart Clinic
Authorized official Abdallah, Hasan I. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Mar 31st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922058668 NPPES
Virginia MEDICAID 006716512

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