| Juburi Medical Center Llc | |
|
2817 Duke St Alexandria VA 22314-4512 | |
| (703) 997-9699 | |
| (703) 997-9766 |
| Full Name | Juburi Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2817 Duke St, Alexandria, Virginia |
| Authorized Official Name and Position | Rudy Juburi (OWNER) |
| Authorized Official Contact | 7039979699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juburi Medical Center Llc 2817 Duke St Alexandria VA 22314-4512 Ph: (703) 997-9699 | Juburi Medical Center Llc 2817 Duke St Alexandria VA 22314-4512 Ph: (703) 997-9699 |
| NPI Number | 1932661147 |
|---|---|
| Provider Enumeration Date | 04/05/2019 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 8224361738 |
|---|---|
| Medicare Enrollment ID | O20190614000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932661147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rudy H Juburi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477598761 PECOS PAC ID: 4880664671 Enrollment ID: I20080512000148 |
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