IndividualActive
Ian Mills, M.D.
NPI 1104183755 · Pediatric Radiology Physician · Fairfax, VA
Provider details
- NPI number
- 1104183755
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101264312 (VA)
Practice location
2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone: (703) 698-4444
Mailing address
2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.