IndividualActive
Andrew Axelrad, M.D.
NPI 1073579876 · Gastroenterology Physician · Reston, VA
Provider details
- NPI number
- 1073579876
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 472345 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11440 Commerce Park Dr
Ll4
Reston, VA 20191-1555
Phone: (703) 766-2650
Fax: (703) 766-2654
Approximate (ZIP-level) locationGet directions
Mailing address
1939 Roland Clarke Pl
Reston, VA 20191-1445
Registry dates
- Enumerated
- 2006-04-21
- Last updated
- 2020-03-09
- Certified
- 2020-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.