North Eastern Virginia Medical, Pllc | |
4660 Kenmore Ave Suite 600 Alexandria VA 22304-1313 | |
(703) 303-2806 | |
(703) 532-1615 |
Full Name | North Eastern Virginia Medical, Pllc |
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Speciality | Internal Medicine |
Location | 4660 Kenmore Ave, Alexandria, Virginia |
Authorized Official Name and Position | Sahba Yasin (PRESIDENT/OWNDER) |
Authorized Official Contact | 7033032806 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Eastern Virginia Medical, Pllc 2122 Mcconvey Pl Falls Church VA 22043-3068 Ph: (703) 303-2806 | North Eastern Virginia Medical, Pllc 4660 Kenmore Ave Suite 600 Alexandria VA 22304-1313 Ph: (703) 303-2806 |
NPI Number | 1245556778 |
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Provider Enumeration Date | 04/08/2010 |
Last Update Date | 04/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245556778 | NPI | - | NPPES |
1568432987 | Other | PROVIDER INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101245174 (Virginia) | Primary |
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