| Infectious Diseases Specialists Of Virginia, Llc | |
|
13890 Braddock Rd Ste 206 Centreville VA 20121-2437 | |
| (703) 758-2664 | |
| (703) 758-2668 |
| Full Name | Infectious Diseases Specialists Of Virginia, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13890 Braddock Rd Ste 206, Centreville, Virginia |
| Authorized Official Name and Position | Mariann E Lansdowne (PRACTICE MANAGER) |
| Authorized Official Contact | 7037582664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Specialists Of Virginia, Llc 13890 Braddock Rd Ste 206 Centreville VA 20121-2437 Ph: (703) 758-2664 | Infectious Diseases Specialists Of Virginia, Llc 13890 Braddock Rd Ste 206 Centreville VA 20121-2437 Ph: (703) 758-2664 |
| NPI Number | 1336181882 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 5597747287 |
|---|---|
| Medicare Enrollment ID | O20040614001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336181882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Paul B Ramilo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821045501 PECOS PAC ID: 0648243394 Enrollment ID: I20050309000863 |
| Provider Name | Henry H Rhee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265489868 PECOS PAC ID: 5193785160 Enrollment ID: I20101012000350 |
| Provider Name | Marsha D Soni |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619924347 PECOS PAC ID: 2466412424 Enrollment ID: I20101012000583 |
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