| Amazon Family Medicine | |
|
5501 Cherokee Ave Suite 205 Alexandria VA 22312-2305 | |
| (703) 635-2775 | |
| (703) 348-7492 |
| Full Name | Amazon Family Medicine |
|---|---|
| Speciality | General Practice |
| Location | 5501 Cherokee Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Syed S Hassan (OWNER) |
| Authorized Official Contact | 7036352775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazon Family Medicine 5501 Cherokee Ave Suite 205 Alexandria VA 22312-2305 Ph: (703) 635-2775 | Amazon Family Medicine 5501 Cherokee Ave Suite 205 Alexandria VA 22312-2305 Ph: (703) 635-2775 |
| NPI Number | 1801115589 |
|---|---|
| Provider Enumeration Date | 05/20/2010 |
| Last Update Date | 04/05/2011 |
| Medicare PECOS PAC ID | 9436280104 |
|---|---|
| Medicare Enrollment ID | O20110614000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801115589 | NPI | - | NPPES |
| 1255372231 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0101225821 (Virginia) | Primary |
| Provider Name | Syed S Hassan |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1255372231 PECOS PAC ID: 9234260902 Enrollment ID: I20110616000740 |
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