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DULLES FAMILY MEDICINE P.C.
NPI 1295760510
Family Medicine in Herndon, VA

Active since July 12, 2006CLIA 49D0876535 · Microscopy
504 ELDEN ST # 3, HERNDON, VA 20170(703) 471-0800(703) 471-1332 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dulles Family Medicine P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DULLES FAMILY MEDICINE P.C. (NPI 1295760510) is a healthcare organization registered as a family medicine in Herndon, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 16, 2027 and lists Shamim Akhtar Iman, Owner Of Practice C Corporation, as its authorized official.

NPPES Registry Identity

NPI1295760510
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDULLES FAMILY MEDICINE P.C.
Location Address504 ELDEN ST # 3Herndon, VA 20170-4741
Mailing Address504 Elden St # 3Herndon, VA 20170-4741 · (703) 471-0800 · Fax (703) 471-1332
Phone(703) 471-0800
Fax(703) 471-1332
Organization SubpartNo
Authorized OfficialShamim Akhtar ImanOwner Of Practice C Corporation · (703) 471-0800
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295760510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101046800
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
504 ELDEN ST # 3, Herndon, VA 20170
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0876535

Dulles Family Medicine-Phys Office Lab · Herndon, VA
Active · expires Sep 16, 2027
CLIA Number49D0876535
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorShamim A. Imam MD
Laboratory Phone(703) 471-0800
Laboratory LocationDulles Family Medicine-Phys Office Lab504 Elden Street Suite 3, Herndon, VA 20170
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAMIM AKHTAR IMAM M.D.
Family Medicine
504 ELDEN ST # 3
HERNDON, VA 20170
Fairfax County (703) 471-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dulles Family Medicine P.C.'s NPI number?

The NPI number for Dulles Family Medicine P.C. is 1295760510. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Dulles Family Medicine P.C. located?

Dulles Family Medicine P.C. is located at 504 Elden St # 3, Herndon, VA 20170. The listed phone number is (703) 471-0800.

What is Dulles Family Medicine P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dulles Family Medicine P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0876535) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dulles Family Medicine P.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.