| Cardinal Healthcare | |
|
436 Hospital Dr Warrenton VA 20186-3026 | |
| (540) 216-7776 | |
| Not Available |
| Full Name | Cardinal Healthcare |
|---|---|
| Speciality | General Practice |
| Location | 436 Hospital Dr, Warrenton, Virginia |
| Authorized Official Name and Position | Mitra Hafezi (PHYSICIAN) |
| Authorized Official Contact | 5402167776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Healthcare 436 Hospital Dr Warrenton VA 20186-3026 Ph: (540) 216-7776 | Cardinal Healthcare 436 Hospital Dr Warrenton VA 20186-3026 Ph: (540) 216-7776 |
| NPI Number | 1457072100 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 10/12/2022 |
| Medicare PECOS PAC ID | 7618343690 |
|---|---|
| Medicare Enrollment ID | O20221017000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457072100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mitra Hafezi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043877111 PECOS PAC ID: 4789912817 Enrollment ID: I20221017000351 |
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