Northstar Health Inc | |
43109 Unison Knoll Cir Ashburn VA 20148-7136 | |
(702) 492-9439 | |
Not Available |
Full Name | Northstar Health Inc |
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Speciality | Internal Medicine |
Location | 43109 Unison Knoll Cir, Ashburn, Virginia |
Authorized Official Name and Position | Prita Bhardwaj (OWNER) |
Authorized Official Contact | 7036597773 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Northstar Health Inc 43109 Unison Knoll Cir Ashburn VA 20148-7136 Ph: () - | Northstar Health Inc 43109 Unison Knoll Cir Ashburn VA 20148-7136 Ph: (702) 492-9439 |
NPI Number | 1861094096 |
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Provider Enumeration Date | 11/12/2020 |
Last Update Date | 11/12/2020 |
Medicare PECOS PAC ID | 5496168320 |
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Medicare Enrollment ID | O20210113001663 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861094096 | NPI | - | NPPES |
1790092922 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Prita Bhardwaj |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1790092922 PECOS PAC ID: 7719175678 Enrollment ID: I20101220001106 |
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