Individual provider · Type 1 NPI

Mark Emanuel Vasiliadis, MD

Family Medicine Physician · Reston, VA

NPI number 1639241771 Active

Practice location

12040 S Lakes Dr, Suite 195
Reston, VA 20191-1246

Call (703) 230-0347 Map

Mailing address

12040 S Lakes Dr Ste 204
Reston, VA 20191-1236

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X0101050406 (VA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1639241771

Mark Emanuel Vasiliadis, MD's National Provider Identifier is 1639241771, issued on Nov 14, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Reston, VA. The record was last updated on Aug 25, 2022.