| Nova Medical Services,pllc | |
|
4229 Lafayette Center Dr Suite 1425 Chantilly VA 20151-1261 | |
| (703) 961-1119 | |
| (703) 961-1159 |
| Full Name | Nova Medical Services,pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4229 Lafayette Center Dr, Chantilly, Virginia |
| Authorized Official Name and Position | Neeraja Thathagari (OWNER) |
| Authorized Official Contact | 7039611119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Services,pllc Po Box 734 Centreville VA 20122-0734 Ph: (703) 961-1119 | Nova Medical Services,pllc 4229 Lafayette Center Dr Suite 1425 Chantilly VA 20151-1261 Ph: (703) 961-1119 |
| NPI Number | 1679692974 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 11/03/2007 |
| Medicare PECOS PAC ID | 9830280361 |
|---|---|
| Medicare Enrollment ID | O20070813000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679692974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101237990 (Virginia) | Primary |
| Provider Name | Neeraja Thathagari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104987049 PECOS PAC ID: 3870538481 Enrollment ID: I20050623000945 |
Commonwealth Gastroenterology, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Lafayette Center Dr, #1000, Chantilly, VA 20151 Phone: 703-262-0200 | |
Chantilly Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4437 Brookfield Corporate Dr, Chantilly, VA 20151 Phone: 703-968-7277 Fax: 703-968-5644 | |
Franklin Farm Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3914 Centreville Rd, Suite 250, Chantilly, VA 20151 Phone: 703-620-5601 Fax: 703-796-0618 | |
Dulles Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4080 Lafayette Center Dr, Suite # 110, Chantilly, VA 20151 Phone: 703-961-1680 | |
Continuum Health Aic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14303 Sullyfield Cir Ste C-1, Chantilly, VA 20151 Phone: 800-665-2850 Fax: 833-271-9979 | |
Global Med Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14900 Bogle Dr Ste 310, Chantilly, VA 20151 Phone: 703-932-1904 | |
Washington Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4229 Lafayette Center Dr Ste 1125b-1, Chantilly, VA 20151 Phone: 703-436-9969 Fax: 703-574-5585 |