INFECTIOUS DISEASES & EPIDEMIOLOGY PC (NPI# 1790234276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790234276 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASES & EPIDEMIOLOGY PC |
| Practice Address |
4720 Puddledock Rd Ste 120 Prince George VA 23875-1275 |
| Practice Telephone | 8044461959 |
| Practice Fax Number | 8044527500 |
| Mailing Telephone | 8044461959 |
| Mailing Fax Number | 8044527500 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | MIR AKBAR ALI (PRESIDENT) |
| Authorized Official Telephone | 8044461959 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
0101259856 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 W Randolph Rd, Suite 300 - Infectious Diseases & Epidemiology, Hopewell, VA 238602938 | 8044461959 | 8044527500 |
| Street Address |
4720 PUDDLEDOCK RD STE 120 |
| City | PRINCE GEORGE |
| State | VA |
| Zip Code | 23875-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053676858 | Mir Akbar Ali | Internal Medicine | 4720 Puddledock Rd Ste 120, Prince George, VA 23875-1275 | 2012-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1053815423 | Yolanda Larrette Hoag | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875 | 2018-03-21 |
| 1932534864 | Foundation for Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4301 Montreal Ave., Prince George, VA 23875 | 2013-09-11 |
| 1073889697 | Jemina M Liverman | Nurse Practitioner | 4260 Crossing Blvd, Prince George, VA 23875 | 2012-03-28 |
| 1245412717 | Prince George County Public Schools | Local Education Agency (LEA) | 6410 Courts Drive, Prince George, VA 23875 | 2007-11-27 |
| 1952330193 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 6459 Administration Dr., Prince George, VA 23875 | 2006-07-01 |
| 1598173155 | Divine Spine Chiropractic | Chiropractor | 4205 Crossings Blvd, Prince George, VA 23875 | 2014-07-28 |
| 1669632782 | Ashif K Jethava | Internal Medicine | 4720 Puddledock Rd, Suite 100b, Prince George, VA 23875 | 2008-06-12 |
| 1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
| 1033754874 | Jessica M Larche | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875-1235 | 2019-11-15 |
| Find all providers in zip 23875 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053676858 | Mir Akbar Ali | Internal Medicine | 4720 Puddledock Rd Ste 120, Prince George, VA 23875-1275 | 2012-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812364 | Virginia Id Doctors LLC | Internal Medicine | 4437 Brookfield Corporate Dr Ste 101, Chantilly, VA 20151-2122 | 2017-10-12 |
| 1841749272 | Lawrence Daniel Mullany | Internal Medicine | 12272 Declaration Ave, Chester, VA 23836-3057 | 2016-09-27 |
| 1790172724 | Sana Attar | Internal Medicine | 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116-2339 | 2015-04-16 |
| 1811395205 | W. Robert Lange | Internal Medicine | 835 Gangplank Rd Unit 110, Moneta, VA 24121-2499 | 2014-12-17 |
| 1063835304 | Juan Weiss | Internal Medicine | 9335 Amaryllis Ave., Manassas, VA 20110 | 2014-01-22 |
| 1104165034 | Derek Thomas Larson | Internal Medicine | 133 Green Meadow Dr, Portsmouth, VA 23701-1522 | 2013-02-13 |
| 1023361086 | Valerie Riddle | Internal Medicine | 185 Tara Woods Dr, Bumpass, VA 23024-4934 | 2012-10-16 |
| 1841560273 | Donald Gray Heppner Jr. | Internal Medicine | 1041 Half Mile Branch Rd, Crozet, VA 22932-3306 | 2012-01-02 |
| 1790075901 | Jillian Eileen Raybould | Internal Medicine | 1000 E Marshall St, Vmi Building, Suite 2015, Richmond, VA 23298-1901 | 2011-04-10 |
| 1568762938 | Infectious Disease Specialists Pllc | Internal Medicine | 1518 Royale Ter, Norfolk, VA 23509-1176 | 2010-11-01 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE GEORGE |
| Zip Code | 23875 |
Please comment or provide details below to improve the information on INFECTIOUS DISEASES & EPIDEMIOLOGY PC.
| 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.