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

Sudley Medical Clinic Inc

Organization Family Medicine Physician · NPI 1174829782

Sudley Medical Clinic Inc is a Family Medicine Physician 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
Phone: (703) 626-7501
Fax: (571) 379-7468
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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 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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