Endocrine Solutions Llc | |
1850 Town Center Pkwy Reston VA 20190-3204 | |
(571) 353-4614 | |
Not Available |
Full Name | Endocrine Solutions Llc |
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Speciality | Internal Medicine |
Location | 1850 Town Center Pkwy, Reston, Virginia |
Authorized Official Name and Position | Samim Enayat (OWNER) |
Authorized Official Contact | 6158790587 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Endocrine Solutions Llc 44050 Ashburn Shopping Plaza Suite 195 - #702 Ashburn VA 20147 Ph: () - | Endocrine Solutions Llc 1850 Town Center Pkwy Reston VA 20190-3204 Ph: (571) 353-4614 |
NPI Number | 1316650997 |
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Provider Enumeration Date | 12/28/2022 |
Last Update Date | 01/01/2023 |
Medicare PECOS PAC ID | 7618341140 |
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Medicare Enrollment ID | O20230323000241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316650997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Samim Enayat |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1700053824 PECOS PAC ID: 3779756713 Enrollment ID: I20220209002562 |
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