OrganizationActive
Excel Medical Clinic, Inc.
NPI 1164858205 · Primary Care Clinic/Center · Woodbridge, VA
Provider details
- NPI number
- 1164858205
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shriharsh Pole, President(703) 497-4500
- License
- 0024166397 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
14904 Jefferson Davis Hwy
Suite 205
Woodbridge, VA 22191-3908
Phone: (703) 497-4500
Fax: (703) 494-4671
Approximate (ZIP-level) locationGet directions
Mailing address
14904 Jefferson Davis Hwy
Woodbridge, VA 22191-3908
Registry dates
- Enumerated
- 2013-09-20
- Last updated
- 2013-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.