OrganizationActive
Mishra & Mishra, MD, PA
NPI 1376599001 · Multi-Specialty Clinic/Center · Mc Lean, VA
Provider details
- NPI number
- 1376599001
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leah Gaedeke, Fnp/Clinic Administrator(703) 356-1105
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6845 Elm St Ste 700
Mc Lean, VA 22101-3851
Phone: (703) 356-1105
Fax: (703) 356-0970
Approximate (ZIP-level) locationGet directions
Mailing address
6845 Elm St Ste 700
Mc Lean, VA 22101-3851
Other names (DBA / former)
- Doing business as
- Mclean Neuroscience
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2011-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.