Manassas Internal Medicine | |
8569 Sudley Rd Ste B Manassas VA 20110-3866 | |
(703) 257-7749 | |
(855) 254-4529 |
Full Name | Manassas Internal Medicine |
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Speciality | Internal Medicine |
Location | 8569 Sudley Rd Ste B, Manassas, Virginia |
Authorized Official Name and Position | Angela Shamel (OFFICE ADMIN) |
Authorized Official Contact | 7032577749 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Manassas Internal Medicine 8569 Sudley Rd Ste B Manassas VA 20110-3866 Ph: (703) 257-7749 | Manassas Internal Medicine 8569 Sudley Rd Ste B Manassas VA 20110-3866 Ph: (703) 257-7749 |
NPI Number | 1609804285 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 06/02/2021 |
Medicare PECOS PAC ID | 1951371301 |
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Medicare Enrollment ID | O20040731000063 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609804285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John F Cary |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326045303 PECOS PAC ID: 6507836954 Enrollment ID: I20040731000046 |
Provider Name | Vijaya L Sunkara |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1871548255 PECOS PAC ID: 5294784583 Enrollment ID: I20060829000383 |
Provider Name | Young K Kim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932106911 PECOS PAC ID: 8123173200 Enrollment ID: I20090826000608 |
Provider Name | Ladonna Lynn Wagner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538566716 PECOS PAC ID: 3870819543 Enrollment ID: I20150623000238 |
Provider Name | Janet Conrad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790310035 PECOS PAC ID: 3971904905 Enrollment ID: I20210629001207 |
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