Femme Care/prosperity Internal Medicine Associates | |
1801 Robert Fulton Dr Ste 140 Reston VA 20191-4347 | |
(703) 876-9300 | |
(703) 876-9811 |
Full Name | Femme Care/prosperity Internal Medicine Associates |
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Speciality | Internal Medicine |
Location | 1801 Robert Fulton Dr Ste 140, Reston, Virginia |
Authorized Official Name and Position | Sandra Rivera (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 7038769300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Femme Care/prosperity Internal Medicine Associates 1801 Robert Fulton Dr. Suite 140 Reston VA 20191-4628 Ph: (703) 876-9300 | Femme Care/prosperity Internal Medicine Associates 1801 Robert Fulton Dr Ste 140 Reston VA 20191-4347 Ph: (703) 876-9300 |
NPI Number | 1831300482 |
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Provider Enumeration Date | 05/25/2007 |
Last Update Date | 10/13/2020 |
Medicare PECOS PAC ID | 9830121060 |
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Medicare Enrollment ID | O20050908000339 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831300482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Tarique Zahir |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891955035 PECOS PAC ID: 1052625779 Enrollment ID: I20150807014736 |
Provider Name | Taseen Mir |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154470946 PECOS PAC ID: 5698795896 Enrollment ID: I20150810002641 |
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