Care Medical Llc | |
25303 Gothic Sq Chantilly VA 20152-4104 | |
(703) 396-5292 | |
(703) 396-5297 |
Full Name | Care Medical Llc |
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Speciality | Internal Medicine |
Location | 25303 Gothic Sq, Chantilly, Virginia |
Authorized Official Name and Position | Nirav K Thakkar (OWNER) |
Authorized Official Contact | 5022129393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Care Medical Llc 25303 Gothic Sq Chantilly VA 20152-4104 Ph: (703) 396-5292 | Care Medical Llc 25303 Gothic Sq Chantilly VA 20152-4104 Ph: (703) 396-5292 |
NPI Number | 1225457591 |
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Provider Enumeration Date | 04/15/2014 |
Last Update Date | 04/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225457591 | NPI | - | NPPES |
0101252586 | Other | VA | VA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101252586 (Virginia) | Primary |
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