| Ace Medical Care Llc | |
|
9845 Georgetown Pike Great Falls VA 22066-2617 | |
| (703) 757-0311 | |
| (703) 757-0911 |
| Full Name | Ace Medical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9845 Georgetown Pike, Great Falls, Virginia |
| Authorized Official Name and Position | Ali Mirebrahimi-tafreshi (PRESIDENT) |
| Authorized Official Contact | 4437392315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Medical Care Llc 9845 Georgetown Pike Great Falls VA 22066-2617 Ph: (703) 757-0311 | Ace Medical Care Llc 9845 Georgetown Pike Great Falls VA 22066-2617 Ph: (703) 757-0311 |
| NPI Number | 1225337504 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 01/12/2012 |
| Medicare PECOS PAC ID | 6507023215 |
|---|---|
| Medicare Enrollment ID | O20120208000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225337504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101247765 (Virginia) | Primary |
| Provider Name | Maryam Soumai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194751586 PECOS PAC ID: 3274564331 Enrollment ID: I20070305000660 |
| Provider Name | Ali Mirebrahimi-tafreshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295860732 PECOS PAC ID: 2860589603 Enrollment ID: I20090610000074 |
| Provider Name | Sherry Hoss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972698066 PECOS PAC ID: 6800812652 Enrollment ID: I20100826000634 |
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