| Gastroenterology Center Of Northern Virginia Ltd | |
|
3299 Woodburn Road Suite 220 Annandale VA 22003 | |
| (703) 560-6106 | |
| (703) 204-1968 |
| Full Name | Gastroenterology Center Of Northern Virginia Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 3299 Woodburn Road, Annandale, Virginia |
| Authorized Official Name and Position | Gabriel B Herman (PRESIDENT) |
| Authorized Official Contact | 7035606106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Center Of Northern Virginia Ltd 3299 Woodburn Road Suite 220 Annandale VA 22003 Ph: (703) 560-6106 | Gastroenterology Center Of Northern Virginia Ltd 3299 Woodburn Road Suite 220 Annandale VA 22003 Ph: (703) 560-6106 |
| NPI Number | 1154546158 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 04/15/2013 |
| Medicare PECOS PAC ID | 0042256406 |
|---|---|
| Medicare Enrollment ID | O20050707000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154546158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Truc Thi Trinh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063441863 PECOS PAC ID: 4385674027 Enrollment ID: I20060717000090 |
| Provider Name | Diego Kuperschmit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457450280 PECOS PAC ID: 2264438241 Enrollment ID: I20071023000046 |
| Provider Name | Gabriel B Herman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437231289 PECOS PAC ID: 6901992122 Enrollment ID: I20081217000081 |
| Provider Name | Pradeep K Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215097829 PECOS PAC ID: 7416081856 Enrollment ID: I20100820000019 |
| Provider Name | Rachana Potru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235395583 PECOS PAC ID: 5193966497 Enrollment ID: I20130730000221 |
Trang T. Vo-nguyen, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Little River Tpke, Annandale, VA 22003 Phone: 703-750-6800 Fax: 703-354-4501 | |
Lewis Family Medicine, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4307 Kenwyn Ct, Annandale, VA 22003 Phone: 703-598-0262 | |
Imc Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 Little River Tpke, Suite 100c, Annandale, VA 22003 Phone: 703-642-1004 Fax: 703-642-3232 | |
Neighborhood Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6715 Little River Tpke Ste 201, Annandale, VA 22003 Phone: 703-535-5568 | |
Peter D Kim Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4208 Evergreen Ln, Suite 222, Annandale, VA 22003 Phone: 703-642-2288 Fax: 703-642-1224 | |
Bao Dinh Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 Woodburn Rd Ste 311, Annandale, VA 22003 Phone: 703-828-0048 Fax: 703-574-8649 | |
Nova Training Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 Markham St Ste 224, Annandale, VA 22003 Phone: 703-266-2220 |