One Care Medical | |
13895 Hedgewood Dr Suite 101 Woodbridge VA 22193-7924 | |
(571) 308-8530 | |
(425) 905-1813 |
Full Name | One Care Medical |
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Speciality | Internal Medicine |
Location | 13895 Hedgewood Dr, Woodbridge, Virginia |
Authorized Official Name and Position | Nika Jani (MANAGING DIRECTOR) |
Authorized Official Contact | 5713088530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
One Care Medical 13895 Hedgewood Dr Suite 101 Woodbridge VA 22193-7925 Ph: (571) 308-8530 | One Care Medical 13895 Hedgewood Dr Suite 101 Woodbridge VA 22193-7924 Ph: (571) 308-8530 |
NPI Number | 1457682189 |
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Provider Enumeration Date | 01/20/2010 |
Last Update Date | 09/29/2011 |
Medicare PECOS PAC ID | 3476696758 |
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Medicare Enrollment ID | O20100209000356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457682189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101246283 (Virginia) | Primary |
Provider Name | Nika Jani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194995605 PECOS PAC ID: 6901948058 Enrollment ID: I20100127000706 |
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