| Potomac Palliative Care Group | |
|
19415 Deerfield Ave Ste 107 Lansdowne VA 20176-8470 | |
| (240) 388-1414 | |
| Not Available |
| Full Name | Potomac Palliative Care Group |
|---|---|
| Speciality | Internal Medicine - Hospice And Palliative Medicine |
| Location | 19415 Deerfield Ave Ste 107, Lansdowne, Virginia |
| Authorized Official Name and Position | Amjad Riar (OWNER/PROVIDER) |
| Authorized Official Contact | 2403881414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Palliative Care Group 19415 Deerfield Ave Ste 107 Lansdowne VA 20176-8470 Ph: () - | Potomac Palliative Care Group 19415 Deerfield Ave Ste 107 Lansdowne VA 20176-8470 Ph: (240) 388-1414 |
| NPI Number | 1659798072 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 04/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659798072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101241701 (Virginia) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 0101241701 (Virginia) | Primary |
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