Sobha R Paluvoi Md Pc | |
19415 Deerfield Ave Suite #210 Lansdowne VA 20176-8452 | |
(703) 729-8830 | |
(703) 729-8477 |
Full Name | Sobha R Paluvoi Md Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 19415 Deerfield Ave, Lansdowne, Virginia |
Authorized Official Name and Position | Sobha R Paluvoi (PRESIDENT) |
Authorized Official Contact | 7037298830 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sobha R Paluvoi Md Pc 19415 Deerfield Ave Suite #210 Lansdowne VA 20176-8452 Ph: (703) 729-8830 | Sobha R Paluvoi Md Pc 19415 Deerfield Ave Suite #210 Lansdowne VA 20176-8452 Ph: (703) 729-8830 |
NPI Number | 1972670446 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 04/24/2008 |
Medicare PECOS PAC ID | 4587647409 |
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Medicare Enrollment ID | O20040611000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972670446 | NPI | - | NPPES |
010090245 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 0101235532 (Virginia) | Primary |
Provider Name | Sobha R Paluvoi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851578850 PECOS PAC ID: 5294718110 Enrollment ID: I20040611000177 |
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