Medicalofficeof Dr Tefera | |
2946 Sleepy Hollow Rd Falls Church VA 22044-2003 | |
(703) 213-0716 | |
Not Available |
Full Name | Medicalofficeof Dr Tefera |
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Speciality | Internal Medicine |
Location | 2946 Sleepy Hollow Rd, Falls Church, Virginia |
Authorized Official Name and Position | Girma K Tefera (DIRECTOR) |
Authorized Official Contact | 7032130716 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medicalofficeof Dr Tefera 9628 Sloway Coast Dr Lorton VA 22079-2787 Ph: (703) 587-9900 | Medicalofficeof Dr Tefera 2946 Sleepy Hollow Rd Falls Church VA 22044-2003 Ph: (703) 213-0716 |
NPI Number | 1134473671 |
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Provider Enumeration Date | 11/06/2012 |
Last Update Date | 11/06/2012 |
Medicare PECOS PAC ID | 5496903668 |
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Medicare Enrollment ID | O20121128000551 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134473671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101241655 (Virginia) | Primary |
Provider Name | Girma K Tefera |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144429127 PECOS PAC ID: 0749373488 Enrollment ID: I20090610000424 |
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