Maimon Pllc | |
611 Watkins Centre Pkwy Ste 110 Midlothian VA 23114-4404 | |
(804) 893-8447 | |
Not Available |
Full Name | Maimon Pllc |
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Speciality | Clinic/Center |
Location | 611 Watkins Centre Pkwy Ste 110, Midlothian, Virginia |
Authorized Official Name and Position | Ziya Aktig (OWNER) |
Authorized Official Contact | 9802504759 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maimon Pllc 3709 Old Gun Rd W Midlothian VA 23113-2019 Ph: () - | Maimon Pllc 611 Watkins Centre Pkwy Ste 110 Midlothian VA 23114-4404 Ph: (804) 893-8447 |
NPI Number | 1659149383 |
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Provider Enumeration Date | 12/12/2023 |
Last Update Date | 12/12/2023 |
Medicare PECOS PAC ID | 8921445438 |
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Medicare Enrollment ID | O20240320000533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659149383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ziya Aktig |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1871129700 PECOS PAC ID: 0244690824 Enrollment ID: I20230713003256 |
Provider Name | Michaela Varys |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053947986 PECOS PAC ID: 0446697965 Enrollment ID: I20240320001032 |
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