| Commonwealth Internal Medicine Llc | |
|
2280 Opitz Blvd Suite 210 Woodbridge VA 22191-3362 | |
| (703) 897-8389 | |
| Not Available |
| Full Name | Commonwealth Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2280 Opitz Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Atul P Kapadia (PRESIDENT) |
| Authorized Official Contact | 7038978389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Internal Medicine Llc 2280 Opitz Blvd Suite 210 Woodbridge VA 22191-3362 Ph: () - | Commonwealth Internal Medicine Llc 2280 Opitz Blvd Suite 210 Woodbridge VA 22191-3362 Ph: (703) 897-8389 |
| NPI Number | 1275657108 |
|---|---|
| Provider Enumeration Date | 03/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0941285522 |
|---|---|
| Medicare Enrollment ID | O20040618001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275657108 | NPI | - | NPPES |
| F787 | Other | VA | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101057778 (Virginia) | Primary |
| Provider Name | Atul P Kapadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619986940 PECOS PAC ID: 9931190451 Enrollment ID: I20040524000293 |
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