Mohammed H. Azim M.d. And Ahmad Z. Qasimyar M.d. Pc | |
8694 Centreville Rd Manassas VA 20110-5266 | |
(703) 257-1996 | |
(703) 361-6078 |
Full Name | Mohammed H. Azim M.d. And Ahmad Z. Qasimyar M.d. Pc |
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Speciality | Internal Medicine |
Location | 8694 Centreville Rd, Manassas, Virginia |
Authorized Official Name and Position | Mohammed Hardon Azim (PRESIDENT) |
Authorized Official Contact | 7032571996 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mohammed H. Azim M.d. And Ahmad Z. Qasimyar M.d. Pc 8694 Centreville Rd Manassas VA 20110-5266 Ph: (703) 257-1996 | Mohammed H. Azim M.d. And Ahmad Z. Qasimyar M.d. Pc 8694 Centreville Rd Manassas VA 20110-5266 Ph: (703) 257-1996 |
NPI Number | 1972607281 |
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Provider Enumeration Date | 09/08/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6204890387 |
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Medicare Enrollment ID | O20041118000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972607281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101236183 (Virginia) | Primary |
207R00000X | Internal Medicine | 0101049112 (Virginia) | Primary |
Provider Name | Mohammed H Azim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467550236 PECOS PAC ID: 9931163011 Enrollment ID: I20130117000122 |
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