| Dulles Family Medicine P.c. | |
|
504 Elden St # 3 Herndon VA 20170-4741 | |
| (703) 471-0800 | |
| (703) 471-1332 |
| Full Name | Dulles Family Medicine P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 504 Elden St # 3, Herndon, Virginia |
| Authorized Official Name and Position | Shamim Akhtar Iman (OWNER OF PRACTICE C CORPORATION) |
| Authorized Official Contact | 7034710800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dulles Family Medicine P.c. 504 Elden St # 3 Herndon VA 20170-4741 Ph: (703) 471-0800 | Dulles Family Medicine P.c. 504 Elden St # 3 Herndon VA 20170-4741 Ph: (703) 471-0800 |
| NPI Number | 1295760510 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7517068505 |
|---|---|
| Medicare Enrollment ID | O20070720000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295760510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101046800 (Virginia) | Primary |
| Provider Name | Shamim A Imam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265513550 PECOS PAC ID: 2860595550 Enrollment ID: I20070319000214 |
Medical Response Partners, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13530 Dulles Technology Dr Ste 500, Herndon, VA 20171 Phone: 607-821-9124 | |
Healthcar, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 Highcourt Ln Apt 103, Herndon, VA 20170 Phone: 571-239-1139 | |
Nova Health Management & Research Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171 Phone: 703-404-5905 Fax: 703-421-1099 | |
Oliver Pain Relief And Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Sterling Rd Ste 106, Herndon, VA 20170 Phone: 703-904-8528 Fax: 703-904-8529 | |
Kyss Med Spa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Elden St Ste 304, Herndon, VA 20170 Phone: 703-463-9620 | |
Longview International Technology Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12930 Worldgate Dr Ste 300, Herndon, VA 20170 Phone: 412-629-0180 |