Unknown Individual – Internal Medicine Physician, NPI 1063409506

Unknown Individual is a healthcare provider. based in Abingdon, Virginia. specializing in Internal Medicine Physician. They hold a License No. 0101022676 (VA). The NPI Number for Unknown Individual is 1063409506

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063409506
Phone
Not provided
Address
322 E VALLEY ST
Deactivation Date
26 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Valley Street Northeast, Abingdon, Washington County, Virginia, 24210, United States

    ABINGDON, VA 24210

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24210)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1063409506?
NPI 1063409506 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Abingdon, Virginia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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