Elite Medical Center Llc | |
8420 Quarry Rd Manassas VA 20110-5326 | |
(571) 208-1965 | |
Not Available |
Full Name | Elite Medical Center Llc |
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Speciality | Internal Medicine |
Location | 8420 Quarry Rd, Manassas, Virginia |
Authorized Official Name and Position | Mohammed Azim (PRESIDENT) |
Authorized Official Contact | 5555551212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Medical Center Llc 8420 Quarry Rd Manassas VA 20110-5326 Ph: (571) 208-1965 | Elite Medical Center Llc 8420 Quarry Rd Manassas VA 20110-5326 Ph: (571) 208-1965 |
NPI Number | 1437980224 |
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Provider Enumeration Date | 08/12/2024 |
Last Update Date | 08/12/2024 |
Identifier | Type | State | Issuer |
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1437980224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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