Manassas Primary Care, Llc | |
8428 Dorsey Cir Suite 101 Manassas VA 20110-8302 | |
(571) 379-8827 | |
(888) 224-4936 |
Full Name | Manassas Primary Care, Llc |
---|---|
Speciality | Clinic/Center |
Location | 8428 Dorsey Cir, Manassas, Virginia |
Authorized Official Name and Position | Navdeep Mathur (OWNER) |
Authorized Official Contact | 5713798827 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Manassas Primary Care, Llc 9913 Manet Rd Burke VA 22015-3806 Ph: (703) 994-8845 | Manassas Primary Care, Llc 8428 Dorsey Cir Suite 101 Manassas VA 20110-8302 Ph: (571) 379-8827 |
NPI Number | 1972892065 |
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Provider Enumeration Date | 03/29/2011 |
Last Update Date | 09/14/2011 |
Medicare PECOS PAC ID | 7911179171 |
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Medicare Enrollment ID | O20111012000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972892065 | NPI | - | NPPES |
1952346066 | Other | VA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0101240433 (Virginia) | Primary |
Provider Name | Navdeep Mathur |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952346066 PECOS PAC ID: 8022010990 Enrollment ID: I20111012000003 |
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