Dr Fetnat Faye Masri-imadi, MD | |
2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | |
(703) 357-9707 | |
Not Available |
Full Name | Dr Fetnat Faye Masri-imadi |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2199 Old Bridge Rd, Lake Ridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922158716 | NPI | - | NPPES |
1922158716 | Other | VA | NPI |
298333 | Other | VA | BC/BS |
298333 | Medicaid | VA | |
9418295 | Other | VA | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101240887 (Virginia) | Primary |
Entity Name | Patient First Richmond Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689603748 PECOS PAC ID: 9931011434 Enrollment ID: O20031103000500 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
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 |
---|---|
Dr Fetnat Faye Masri-imadi, MD 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700 | Dr Fetnat Faye Masri-imadi, MD 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 Ph: (703) 357-9707 |
Dr. Fariha Tariq, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 Fax: 703-357-9708 | |
Dr. Bruce Albert Stinnett, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 | |
Dr. Colin Michael Grant, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 |