| Infectious Disease Consultants | |
|
11211 Waples Mill Road Suite 200 Fairfax VA 22030-7406 | |
| (703) 246-9560 | |
| (703) 246-9564 |
| Full Name | Infectious Disease Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 11211 Waples Mill Road, Fairfax, Virginia |
| Authorized Official Name and Position | Stephen E. Weinroth (SR. MANAGING MEMBER) |
| Authorized Official Contact | 7032469560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants 11211 Waples Mill Road Suite 200 Fairfax VA 22030-7406 Ph: (703) 246-9560 | Infectious Disease Consultants 11211 Waples Mill Road Suite 200 Fairfax VA 22030-7406 Ph: (703) 246-9560 |
| NPI Number | 1710078951 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 07/12/2010 |
| Medicare PECOS PAC ID | 2466550090 |
|---|---|
| Medicare Enrollment ID | O20070606000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710078951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Murliya Gowda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548361033 PECOS PAC ID: 6103928510 Enrollment ID: I20070302000230 |
| Provider Name | Alexander Bagasra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083871800 PECOS PAC ID: 5496944324 Enrollment ID: I20110107000725 |
| Provider Name | Jane Pollner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265459812 PECOS PAC ID: 1355513763 Enrollment ID: I20111007000081 |
| Provider Name | Gelareh Alavi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801080197 PECOS PAC ID: 6204995749 Enrollment ID: I20111019000530 |
| Provider Name | Stephen Weinroth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033130430 PECOS PAC ID: 7810095445 Enrollment ID: I20111104000225 |
| Provider Name | Trevor Uyemura |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942599634 PECOS PAC ID: 0244539633 Enrollment ID: I20160506000902 |
| Provider Name | Vijender Singh Bajwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962865741 PECOS PAC ID: 5092052472 Enrollment ID: I20210324001365 |
| Provider Name | Martin Ucanda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679709323 PECOS PAC ID: 9436469244 Enrollment ID: I20211015002124 |
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