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

Prachi Madan

Individual provider Medical Physician Assistant · NPI 1619357308

Prachi Madan is a Physician Assistant in Alexandria, Virginia. Qualified in 2014, 12 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group and offers telehealth. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2015
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Practice location Address checks out

4660 Kenmore Ave Ste 810
Alexandria, VA 22304-1313
Phone: (703) 823-0333
Fax: (703) 823-8611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110004949 (VA)

Record details

NPI number1619357308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2015
Last updated in NPPESJune 8, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Alexandria