Han Ton-that, M.d., P.c. | |
6305 Castle Pl Suite 1-a Falls Church VA 22044-1905 | |
(703) 534-9090 | |
(703) 534-9191 |
Full Name | Han Ton-that, M.d., P.c. |
---|---|
Speciality | Clinic/Center |
Location | 6305 Castle Pl, Falls Church, Virginia |
Authorized Official Name and Position | Han Ton-that (PRESIDENT) |
Authorized Official Contact | 7035349090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Han Ton-that, M.d., P.c. 6305 Castle Pl Suite 1-a Falls Church VA 22044-1905 Ph: (703) 534-9090 | Han Ton-that, M.d., P.c. 6305 Castle Pl Suite 1-a Falls Church VA 22044-1905 Ph: (703) 534-9090 |
NPI Number | 1346526514 |
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Provider Enumeration Date | 11/01/2011 |
Last Update Date | 11/01/2011 |
Medicare PECOS PAC ID | 3274709555 |
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Medicare Enrollment ID | O20120109000592 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346526514 | NPI | - | NPPES |
031861600 | Medicaid | DC | |
005838380 | Medicaid | VA | |
177300300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 0101055233 (Virginia) | Primary |
Provider Name | Han Ton-that |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215045729 PECOS PAC ID: 1254507536 Enrollment ID: I20120109000615 |
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