| Aquia Family Medical Center | |
|
2765 Richmond Hwy Ste 109 Stafford VA 22554-8331 | |
| (540) 657-9191 | |
| (540) 657-0986 |
| Full Name | Aquia Family Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2765 Richmond Hwy Ste 109, Stafford, Virginia |
| Authorized Official Name and Position | Tedla Anbessie (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3019348811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquia Family Medical Center 2765 Richmond Hwy Ste 109 Stafford VA 22554-8331 Ph: (540) 657-9191 | Aquia Family Medical Center 2765 Richmond Hwy Ste 109 Stafford VA 22554-8331 Ph: (540) 657-9191 |
| NPI Number | 1164453742 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 9234029463 |
|---|---|
| Medicare Enrollment ID | O20040319000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164453742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Getachew Y Woldeher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073504940 PECOS PAC ID: 0749170975 Enrollment ID: I20040319000317 |
| Provider Name | Tedla B Anbessie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972590743 PECOS PAC ID: 4183619117 Enrollment ID: I20040419000473 |
| Provider Name | Yared A Gebreyesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366432692 PECOS PAC ID: 3678504461 Enrollment ID: I20051215000845 |
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