Nova Medical Group Pllc | |
106 Elden Street Unit 10 Herndon VA 20170 | |
(703) 495-3176 | |
Not Available |
Full Name | Nova Medical Group Pllc |
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Speciality | Clinic/Center |
Location | 106 Elden Street, Herndon, Virginia |
Authorized Official Name and Position | Sapna Sharma (PHYSICIAN) |
Authorized Official Contact | 7034953176 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nova Medical Group Pllc 14383 Newbrook Drive Suite # 300, Pmb-433 Chantilly VA 20151 Ph: (703) 495-3176 | Nova Medical Group Pllc 106 Elden Street Unit 10 Herndon VA 20170 Ph: (703) 495-3176 |
NPI Number | 1942803960 |
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Provider Enumeration Date | 11/20/2020 |
Last Update Date | 01/04/2021 |
Medicare PECOS PAC ID | 3173936986 |
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Medicare Enrollment ID | O20210114002175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942803960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Sapna Sharma |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982903829 PECOS PAC ID: 9335317486 Enrollment ID: I20130827000868 |
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