PRACHI MADAN (NPI# 1619357308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619357308 |
| Entity Type | Individual |
| Full Name | PRACHI MADAN |
| Practice Address |
4660 Kenmore Ave Suite 810 Alexandria VA 22304-1313 |
| Practice Telephone | 7038230333 |
| Practice Fax Number | 7038238611 |
| Mailing Telephone | 7038230333 |
| Mailing Fax Number | 7038238611 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110004949 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4660 KENMORE AVE SUITE 810 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292091 | Lawrence R. Rubin | Internal Medicine | 4660 Kenmore Ave, Ste 1200, Alexandria, VA 22304-1311 | 2005-06-01 |
| 1316403645 | Felicia Cooper | Nurse Practitioner | 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 2019-02-12 |
| 1659812832 | Northern Virginia Laboratory | Clinical Medical Laboratory | 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 2017-03-20 |
| 1023472388 | Dakota Ferrell | Occupational Therapist | 4660 Kenmore Ave, Ste 400, Alexandria, VA 22304-1313 | 2016-04-12 |
| 1194198952 | Stephanie Anne Shaffer | Advanced Practice Midwife | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-11-02 |
| 1396113270 | Cecelia Brown | Advanced Practice Midwife | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-09-09 |
| 1437535358 | Kathleen Martin Bell | Nurse Practitioner | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-08-03 |
| 1760866842 | Kimberly Ann Miller | Nurse Practitioner | 4660 Kenmore Ave, Suite 600, Alexandria, VA 22304-1313 | 2015-07-17 |
| 1649654716 | Nicole Lobo | Physical Therapy Assistant | 4660 Kenmore Ave, Suite 400, Alexandria, VA 22304-1313 | 2015-07-17 |
| 1336522986 | Elise Faith | Midwife | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1316418544 | Kristen Elizabeth Dreyer | Physician Assistant | 5270 Duke St Apt C421, Alexandria, VA 22304-2943 | 2018-12-16 |
| 1083140677 | Rachel Suzann Young | Physician Assistant | 1501 Duke St Ste 100, Alexandria, VA 22314-3449 | 2017-05-03 |
| 1770821381 | Christine M Hollenbeck | Physician Assistant | 8101 Hinson Farm Rd Ste 219, Alexandria, VA 22306-3406 | 2013-01-17 |
| 1811244007 | Jennifer Weiss | Physician Assistant | 4660 Kenmore Ave Ste 810, Alexandria, VA 22304-1300 | 2012-08-07 |
| 1528237724 | Amy Michelle Suter | Physician Assistant | 4615 Parliament Dr Ste 204, Alexandria, LA 71303-2780 | 2008-02-21 |
| 1174727986 | Jamie Dunn Perrotti | Physician Assistant | 145 Yorktown Dr, Alexandria, LA 71303-3621 | 2007-06-14 |
| 1174686877 | Hazel Alviar | Physician Assistant | 1011 Snow White Dr, Alexandria, LA 71303-3234 | 2006-12-18 |
| 1003921008 | Jessica Suppa Ware | Physician Assistant | 4401 Ford Ave Ste 250, Alexandria, VA 22302-1467 | 2006-08-20 |
| 1316955453 | Lori Ann Romano-collins | Physician Assistant | 8219 Treebrooke Ln, Alexandria, VA 22308-1746 | 2006-08-04 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
Please comment or provide details below to improve the information on PRACHI MADAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.