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

Sudley Medical Clinic Inc

Organization Family Medicine Physician · NPI 1174829782

Sudley Medical Clinic Inc provides Family Medicine Physician services in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10757 Ambassador Dr Ste 101
Manassas, VA 20109-2522 Not confirmed with CMS for 14 years — call before visiting
Phone: (703) 626-7501
Fax: (571) 379-7468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101239873 (VA)

Record details

NPI number1174829782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Mendoza — Office Manager · (703) 626-7501
NPI enumeratedJanuary 28, 2011
Last updated in NPPESSeptember 28, 2012
Mailing address10757 Ambassador Dr, Suite 101, Manassas, VA 20109-2522

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