NPI 1174828529
Capitol Anesthesia Group LLC
Practice location
- Address
- 3028 Javier Rd STE 400, Fairfax, VA 22031-4622
- Phone
- (703) 716-1097
- Fax
- (703) 828-0942
- Mailing address
- PO Box 221732, Chantilly, VA 20153-1732
Authorised official
- Name
- Ahmed Hegab
- Title
- Member
- Phone
- (703) 716-1097
Registered specialties (2)
Anesthesiology Physician
Primary
Certified Registered Nurse Anesthetist
Registry record
- NPI
- 1174828529
- Entity type
- Organization
- NPI issued
- 17 Jan 2011
- Record last updated
- 5 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.