Dr Deepa Pullathu Mony, MD | |
131 Elden St Ste 140, Herndon, VA 20170-4835 | |
(703) 263-9323 | |
(703) 263-0311 |
Full Name | Dr Deepa Pullathu Mony |
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Gender | Female |
Speciality | Pediatrics |
Location | 131 Elden St Ste 140, Herndon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699953117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101243868 (Virginia) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
Mailing Address | Practice Location Address |
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Dr Deepa Pullathu Mony, MD 131 Elden St Ste 140, Herndon, VA 20170-4835 Ph: (703) 263-9323 | Dr Deepa Pullathu Mony, MD 131 Elden St Ste 140, Herndon, VA 20170-4835 Ph: (703) 263-9323 |
Subarna B Dharia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12950 Highland Crossing Drive, Ste. H, Herndon, VA 20171 Phone: 703-860-4200 Fax: 703-860-1528 | |
Mrs. Jennifer P Ferrer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12950 Highland Crossing Drive, Ste. H, Herndon, VA 20171 Phone: 703-860-4200 Fax: 703-860-1528 | |
Kalpana Thammineni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Elden Street, 200, Herndon, VA 20170 Phone: 305-984-6031 | |
Dr. Shadi Tabba, Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Elden St, Suite 2c4, Herndon, VA 20170 Phone: 571-612-2606 | |
Deborah D Foley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12930 Worldgate Dr Ste 300, Herndon, VA 20170 Phone: 703-657-5500 | |
Mr. Salah M Neberai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 110 Elden St, D, Herndon, VA 20170 Phone: 703-471-6996 Fax: 703-435-7762 | |
Mr. Amin Akhlaghi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12950 Highland Crossing Dr Ste H, Herndon, VA 20171 Phone: 703-860-4200 |