| Alexandria Health Care Center, Pllc | |
|
6303 Little River Tpke Ste 160 Alexandria VA 22312-5045 | |
| (703) 658-2650 | |
| (703) 658-2656 |
| Full Name | Alexandria Health Care Center, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6303 Little River Tpke Ste 160, Alexandria, Virginia |
| Authorized Official Name and Position | Ambrish Kumar Gupta (MANAGING MEMBER) |
| Authorized Official Contact | 7036582650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Health Care Center, Pllc 6303 Little River Tpke Ste 160 Alexandria VA 22312-5045 Ph: (703) 658-2650 | Alexandria Health Care Center, Pllc 6303 Little River Tpke Ste 160 Alexandria VA 22312-5045 Ph: (703) 658-2650 |
| NPI Number | 1922131887 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 05/06/2009 |
| Medicare PECOS PAC ID | 3072662527 |
|---|---|
| Medicare Enrollment ID | O20090513000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922131887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth A Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710959234 PECOS PAC ID: 2668441726 Enrollment ID: I20040927000636 |
| Provider Name | Jyotsna Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770517062 PECOS PAC ID: 7416968391 Enrollment ID: I20090513000156 |
| Provider Name | Leslie M Brandwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356371496 PECOS PAC ID: 9436346442 Enrollment ID: I20101202001140 |
| Provider Name | Ambrish Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518991892 PECOS PAC ID: 9234140112 Enrollment ID: I20110211000299 |
| Provider Name | Kiren M Dayal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528091683 PECOS PAC ID: 3779687181 Enrollment ID: I20110531000012 |
| Provider Name | Syed M S Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144434887 PECOS PAC ID: 4688851306 Enrollment ID: I20110607000216 |
| Provider Name | Shephali Ranpuria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679646368 PECOS PAC ID: 6901903814 Enrollment ID: I20110817000353 |
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