| |
44081 Pipeline Plz Ste 200 Ashburn VA 20147-5892 | |
(703) 651-5910 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 44081 Pipeline Plz Ste 200, Ashburn, Virginia |
Authorized Official Name and Position | Mamta Ojha (CEO) |
Authorized Official Contact | 3093630997 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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44081 Pipeline Plz Ste 200 Ashburn VA 20147-5892 Ph: (309) 363-0997 | 44081 Pipeline Plz Ste 200 Ashburn VA 20147-5892 Ph: (703) 651-5910 |
NPI Number | 1134714173 |
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Provider Enumeration Date | 03/02/2021 |
Last Update Date | 01/31/2025 |
Medicare PECOS PAC ID | 1456767938 |
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Medicare Enrollment ID | O20210308001958 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134714173 | NPI | - | NPPES |
1134714173 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mamta Ojha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215220389 PECOS PAC ID: 2769601301 Enrollment ID: I20181116001681 |
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