| Heale Medical Llc | |
|
8300 Boone Blvd Ste 150 Vienna VA 22182-2671 | |
| (917) 379-7365 | |
| Not Available |
| Full Name | Heale Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8300 Boone Blvd Ste 150, Vienna, Virginia |
| Authorized Official Name and Position | Aditya Dubey (AUTHORISED OFFICIAL) |
| Authorized Official Contact | 5713670000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heale Medical Llc 8300 Boone Blvd Ste 150 Vienna VA 22182-2671 Ph: () - | Heale Medical Llc 8300 Boone Blvd Ste 150 Vienna VA 22182-2671 Ph: (917) 379-7365 |
| NPI Number | 1578140968 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Medicare PECOS PAC ID | 8325442932 |
|---|---|
| Medicare Enrollment ID | O20210820001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578140968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Aditya N Dubey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922203116 PECOS PAC ID: 6204914252 Enrollment ID: I20171205001531 |
| Provider Name | Sarah C Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568759884 PECOS PAC ID: 6709029531 Enrollment ID: I20200312001301 |
| Provider Name | Stephanie Ng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447489174 PECOS PAC ID: 4688956261 Enrollment ID: I20211004002728 |
| Provider Name | Shaheen Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285728469 PECOS PAC ID: 0941218952 Enrollment ID: I20220616000568 |
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