Medical Response Partners, Llc | |
13530 Dulles Technology Dr Ste 500 Herndon VA 20171-4642 | |
(607) 821-9124 | |
Not Available |
Full Name | Medical Response Partners, Llc |
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Speciality | Clinic/Center |
Location | 13530 Dulles Technology Dr Ste 500, Herndon, Virginia |
Authorized Official Name and Position | Dezheen Zebari (MEDICAL DIRECTOR) |
Authorized Official Contact | 6078219124 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Response Partners, Llc 13530 Dulles Technology Dr Ste 500 Herndon VA 20171-4642 Ph: () - | Medical Response Partners, Llc 13530 Dulles Technology Dr Ste 500 Herndon VA 20171-4642 Ph: (607) 821-9124 |
NPI Number | 1053199547 |
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Provider Enumeration Date | 09/18/2023 |
Last Update Date | 02/27/2024 |
Medicare PECOS PAC ID | 3476992389 |
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Medicare Enrollment ID | O20240411002365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053199547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Dezheen Zebari |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1346636677 PECOS PAC ID: 2062706468 Enrollment ID: I20240426000808 |
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