Atrium Healthcare Group Llc | |
7501 Little River Tpke Ste 303 Annandale VA 22003-2923 | |
(703) 256-4141 | |
Not Available |
Full Name | Atrium Healthcare Group Llc |
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Speciality | Internal Medicine |
Location | 7501 Little River Tpke Ste 303, Annandale, Virginia |
Authorized Official Name and Position | Kate Sedghi (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7032564141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atrium Healthcare Group Llc 7501 Little River Turnpike Ste#303 Annandale VA 22003-3547 Ph: (703) 256-4141 | Atrium Healthcare Group Llc 7501 Little River Tpke Ste 303 Annandale VA 22003-2923 Ph: (703) 256-4141 |
NPI Number | 1396450607 |
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Provider Enumeration Date | 01/20/2023 |
Last Update Date | 07/30/2023 |
Medicare PECOS PAC ID | 0244698330 |
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Medicare Enrollment ID | O20230622000327 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396450607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Maziar Sadri |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922487198 PECOS PAC ID: 1456608199 Enrollment ID: I20180726000033 |
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