| Medtruly Health Llc | |
|
4445 Corporation Ln Ste 264 Virginia Beach VA 23462-3262 | |
| (408) 762-5948 | |
| Not Available |
| Full Name | Medtruly Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4445 Corporation Ln Ste 264, Virginia Beach, Virginia |
| Authorized Official Name and Position | Eugene Gu (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4087625948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medtruly Health Llc 4445 Corporation Ln Ste 264 Virginia Beach VA 23462-3262 Ph: (408) 762-5948 | Medtruly Health Llc 4445 Corporation Ln Ste 264 Virginia Beach VA 23462-3262 Ph: (408) 762-5948 |
| NPI Number | 1487221388 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Medicare PECOS PAC ID | 8820492663 |
|---|---|
| Medicare Enrollment ID | O20210802001646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487221388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Monica Amona Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20111110000578 |
| Provider Name | Zahra Meyghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952716656 PECOS PAC ID: 2062717556 Enrollment ID: I20191021003294 |
| Provider Name | Sajad Zalzala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639311509 PECOS PAC ID: 5092962209 Enrollment ID: I20210805003152 |
| Provider Name | Rushia Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376582072 PECOS PAC ID: 6608779038 Enrollment ID: I20220107000152 |
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