Diksha Gupta, | |
8320 Old Courthouse Rd Ste 401, Vienna, VA 22182-3848 | |
(571) 506-0892 | |
(702) 202-9615 |
Full Name | Diksha Gupta |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 5 Years |
Location | 8320 Old Courthouse Rd Ste 401, Vienna, Virginia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912467192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0102207087 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Diksha Gupta, 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182-3848 Ph: (571) 506-0892 | Diksha Gupta, 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182-3848 Ph: (571) 506-0892 |
Dr. Eric M Thomson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Park Street Se, Suite 300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457 | |
James Pierce Jenkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Park St Se, Suite 300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457 | |
Afshin Javan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8357 Leesburg Pike, Vienna, VA 22182 Phone: 571-899-3237 Fax: 571-899-3238 | |
Barbara B Andrino, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Maple Ave E, Vienna, VA 22180 Phone: 703-938-5300 Fax: 703-242-0726 | |
Dr. Barnett G Mennen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1880 Howard Ave, Suite 300, Vienna, VA 22182 Phone: 703-790-0103 Fax: 790-703-0379 | |
Kimaya M Vaidya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2671 Avenir Pl Ste B, Vienna, VA 22180 Phone: 703-207-8600 | |
Dr. Kenneth H Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Park St Se, Suite 300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457 |