Dr Peter J Ahn, MD | |
8700 Sudley Rd, Manassas, VA 20110-4418 | |
(703) 369-8073 | |
(703) 369-8032 |
Full Name | Dr Peter J Ahn |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 8700 Sudley Rd, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063455095 | NPI | - | NPPES |
1063455095 | Medicaid | VA | |
013953000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 897862 (Maryland) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 0101245137 (Virginia) | Primary |
Entity Name | Medstar Medical Group Radiology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140822001847 |
Entity Name | Medstar Medical Group - Southern Maryland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831592211 PECOS PAC ID: 1355667056 Enrollment ID: O20150223001281 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter J Ahn, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: (434) 295-1000 | Dr Peter J Ahn, MD 8700 Sudley Rd, Manassas, VA 20110-4418 Ph: (703) 369-8073 |
Dr. Liisa L Laakso, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 Fax: 703-369-8032 | |
Michael B. Robins, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8629 Sudley Rd, Suite 102, Manassas, VA 20110 Phone: 703-369-8341 Fax: 703-369-8423 | |
Dr. Brian T Fogarty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 Fax: 703-369-8032 | |
Joshua C Pleasure, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Dr. Dalton R Daniel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 | |
Philip N. Massey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8629 Sudley Rd, Suite 102, Manassas, VA 20110 Phone: 703-361-3030 Fax: 703-361-2687 |