Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dulles Family Medicine PC

Organization Family Medicine Physician · NPI 1295760510

Dulles Family Medicine PC is a Family Medicine Physician 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
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 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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