| Alexandria Internal Medicine Of Northern Virginia Pc | |
|
4660 Kenmore Ave Ste 604 Alexandria VA 22304-1300 | |
| (703) 823-8300 | |
| (703) 823-5532 |
| Full Name | Alexandria Internal Medicine Of Northern Virginia Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4660 Kenmore Ave Ste 604, Alexandria, Virginia |
| Authorized Official Name and Position | David W Gehring (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7038888448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Internal Medicine Of Northern Virginia Pc 4660 Kenmore Ave Ste 604 Alexandria VA 22304-1300 Ph: (703) 823-8300 | Alexandria Internal Medicine Of Northern Virginia Pc 4660 Kenmore Ave Ste 604 Alexandria VA 22304-1300 Ph: (703) 823-8300 |
| NPI Number | 1740828953 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 12/18/2019 |
| Medicare PECOS PAC ID | 3971939232 |
|---|---|
| Medicare Enrollment ID | O20200204002284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740828953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel M Temme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508948944 PECOS PAC ID: 5092857466 Enrollment ID: I20100122000495 |
| Provider Name | David W Gehring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396707170 PECOS PAC ID: 2567461981 Enrollment ID: I20110315000979 |
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