| Annandale Gerontology Clinic | |
|
4216 Evergreen Ln Ste 121 Annandale VA 22003 | |
| (301) 893-4124 | |
| (703) 662-6165 |
| Full Name | Annandale Gerontology Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4216 Evergreen Ln Ste 121, Annandale, Virginia |
| Authorized Official Name and Position | Jiho Choi (OWNER/STAFF PHYSICIAN) |
| Authorized Official Contact | 3018934124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annandale Gerontology Clinic 4216 Evergreen Ln Ste 121 Annandale VA 22003-3256 Ph: (301) 893-4124 | Annandale Gerontology Clinic 4216 Evergreen Ln Ste 121 Annandale VA 22003 Ph: (301) 893-4124 |
| NPI Number | 1932619210 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 07/01/2020 |
| Medicare PECOS PAC ID | 0244596641 |
|---|---|
| Medicare Enrollment ID | O20171116002412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932619210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 0101252858 (Virginia) | Primary |
| Provider Name | Jiho Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225149859 PECOS PAC ID: 8820097637 Enrollment ID: I20131017000676 |
Trang T. Vo-nguyen, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Little River Tpke, Annandale, VA 22003 Phone: 703-750-6800 Fax: 703-354-4501 | |
Lewis Family Medicine, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4307 Kenwyn Ct, Annandale, VA 22003 Phone: 703-598-0262 | |
Imc Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 Little River Tpke, Suite 100c, Annandale, VA 22003 Phone: 703-642-1004 Fax: 703-642-3232 | |
Neighborhood Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6715 Little River Tpke Ste 201, Annandale, VA 22003 Phone: 703-535-5568 | |
Peter D Kim Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4208 Evergreen Ln, Suite 222, Annandale, VA 22003 Phone: 703-642-2288 Fax: 703-642-1224 | |
Bao Dinh Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 Woodburn Rd Ste 311, Annandale, VA 22003 Phone: 703-828-0048 Fax: 703-574-8649 | |
Nova Training Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 Markham St Ste 224, Annandale, VA 22003 Phone: 703-266-2220 |