Wright, Kaadze M
Wright, Kaadze M is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Wright, Kaadze M can be contacted via phone (703) 295-9360.Contact Information
Primary practice address
3600 Joseph Siewick Dr
Fairfax VA 22033-1709
Phone: (703) 295-9360
Fax: (703) 295-9369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 0101234569 | Virginia |
Profile Details
| NPI number | 1053417543 |
|---|---|
| LBN Legal business name | Wright, Kaadze M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Mar 16th, 2015 - about 9 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 | 1053417543 | NPPES |
| Virginia | MEDICAID | 1053417543 | |
| Virginia | Other | 298107 | |
| Virginia | Other | K142-0001 | |
| Virginia | Other | P00132283 | |
| Virginia | Other | 137167 | |
| Virginia | Other | 249159 | |
| Virginia | Other | 484645 |
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