Organization · Type 2 NPI

Reviva Clinic

Family Medicine Physician · Annandale, VA

NPI number 1669352738 Active

Practice location

4216 Evergeen Lane, Ste 125
Annandale, VA 22003-3456

Call (240) 284-9501 Map

Fax (703) 662-6165

Mailing address

5185 Macarthur Blvd NW # 713
Washington, DC 20016-3341

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

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 1669352738

Reviva Clinic's National Provider Identifier is 1669352738, issued on Sep 8, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Annandale, VA. The record was last updated on Mar 19, 2026.