| Nova Medical Center | |
|
7700 Little River Tpke Ste 102a Annandale VA 22003-2400 | |
| (703) 752-4623 | |
| (703) 762-9978 |
| Full Name | Nova Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 7700 Little River Tpke Ste 102a, Annandale, Virginia |
| Authorized Official Name and Position | Sun Lee (OWNER) |
| Authorized Official Contact | 7032967695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Center 7700 Little River Tpke Ste 102a Annandale VA 22003-2400 Ph: (703) 752-4623 | Nova Medical Center 7700 Little River Tpke Ste 102a Annandale VA 22003-2400 Ph: (703) 752-4623 |
| NPI Number | 1245812825 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 09/12/2022 |
| Medicare PECOS PAC ID | 3870962517 |
|---|---|
| Medicare Enrollment ID | O20230410000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245812825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John K Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053472159 PECOS PAC ID: 2769372085 Enrollment ID: I20040318001265 |
| Provider Name | Insun Choi Mandlebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568956530 PECOS PAC ID: 9335553817 Enrollment ID: I20210125000071 |
| Provider Name | Yeo Lim Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053923706 PECOS PAC ID: 7618373028 Enrollment ID: I20210910002385 |
| Provider Name | Dantong Xu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184339897 PECOS PAC ID: 4486091154 Enrollment ID: I20240318003099 |
Trang T. Vo-nguyen, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Little River Tpke, Annandale, VA 22003 Phone: 703-750-6800 Fax: 703-354-4501 | |
Lewis Family Medicine, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4307 Kenwyn Ct, Annandale, VA 22003 Phone: 703-598-0262 | |
Imc Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 Little River Tpke, Suite 100c, Annandale, VA 22003 Phone: 703-642-1004 Fax: 703-642-3232 | |
Neighborhood Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6715 Little River Tpke Ste 201, Annandale, VA 22003 Phone: 703-535-5568 | |
Peter D Kim Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4208 Evergreen Ln, Suite 222, Annandale, VA 22003 Phone: 703-642-2288 Fax: 703-642-1224 | |
Bao Dinh Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 Woodburn Rd Ste 311, Annandale, VA 22003 Phone: 703-828-0048 Fax: 703-574-8649 | |
Nova Training Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 Markham St Ste 224, Annandale, VA 22003 Phone: 703-266-2220 |