Bao Dinh Do Pc | |
3301 Woodburn Rd Ste 311 Annandale VA 22003-1229 | |
(703) 828-0048 | |
(703) 574-8649 |
Full Name | Bao Dinh Do Pc |
---|---|
Speciality | Internal Medicine |
Location | 3301 Woodburn Rd Ste 311, Annandale, Virginia |
Authorized Official Name and Position | Bao T Dinh (OWNER/PROVIDER) |
Authorized Official Contact | 5713402989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bao Dinh Do Pc 3301 Woodburn Rd Ste 311 Annandale VA 22003-1229 Ph: (703) 828-0048 | Bao Dinh Do Pc 3301 Woodburn Rd Ste 311 Annandale VA 22003-1229 Ph: (703) 828-0048 |
NPI Number | 1144704040 |
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Provider Enumeration Date | 09/18/2018 |
Last Update Date | 12/05/2018 |
Medicare PECOS PAC ID | 5799025540 |
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Medicare Enrollment ID | O20190314001508 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144704040 | NPI | - | NPPES |
1144704040 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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