Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dulles Family Medicine PC

Organization Family Medicine Physician · NPI 1295760510

Dulles Family Medicine PC provides Family Medicine Physician services in Herndon, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

504 Elden St # 3
Herndon, VA 20170-4741
Phone: (703) 471-0800
Fax: (703) 471-1332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101046800 (VA)

Record details

NPI number1295760510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shamim Iman — Owner Of Practice C Corporation · (703) 471-0800
NPI enumeratedJuly 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address504 Elden St # 3, Herndon, VA 20170-4741

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