| Bay Medical Care Llc | |
|
4010 Maury Pl Ste 8b Alexandria VA 22309-2340 | |
| (703) 665-0508 | |
| Not Available |
| Full Name | Bay Medical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4010 Maury Pl, Alexandria, Virginia |
| Authorized Official Name and Position | Dhirgham Kshash (DIRECTOR) |
| Authorized Official Contact | 9142170802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Medical Care Llc 4010 Maury Pl Ste 8b Alexandria VA 22309-2340 Ph: () - | Bay Medical Care Llc 4010 Maury Pl Ste 8b Alexandria VA 22309-2340 Ph: (703) 665-0508 |
| NPI Number | 1205122330 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 07/20/2011 |
| Medicare PECOS PAC ID | 1153595152 |
|---|---|
| Medicare Enrollment ID | O20111130000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205122330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101249593 (Virginia) | Primary |
| Provider Name | Dhirgham H Kshash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912183682 PECOS PAC ID: 7012088248 Enrollment ID: I20080616000791 |
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