Affordable Primary Care, Llc | |
10721 Main St Ste 2450 Fairfax VA 22030-6911 | |
(571) 723-3366 | |
(703) 890-3092 |
Full Name | Affordable Primary Care, Llc |
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Speciality | Internal Medicine |
Location | 10721 Main St Ste 2450, Fairfax, Virginia |
Authorized Official Name and Position | Narendra G Desai (PHYSICIAN/OWNER) |
Authorized Official Contact | 5717233366 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Affordable Primary Care, Llc 10721 Main St Ste 2450 Fairfax VA 22030-6911 Ph: (571) 723-3366 | Affordable Primary Care, Llc 10721 Main St Ste 2450 Fairfax VA 22030-6911 Ph: (571) 723-3366 |
NPI Number | 1144650839 |
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Provider Enumeration Date | 11/18/2013 |
Last Update Date | 11/18/2013 |
Medicare PECOS PAC ID | 1951525401 |
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Medicare Enrollment ID | O20140624001418 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144650839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101025154 (Virginia) | Primary |
Provider Name | Narendra G Desai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780687715 PECOS PAC ID: 8325172596 Enrollment ID: I20101227000758 |
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