| Prem P. Manchanda Md, Pc | |
|
4660 Kenmore Ave 220 Alexandria VA 22304-1313 | |
| (703) 981-4865 | |
| Not Available |
| Full Name | Prem P. Manchanda Md, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4660 Kenmore Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Prem Manchanda (OWNER) |
| Authorized Official Contact | 7039814865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prem P. Manchanda Md, Pc 4100 Orchard Dr Fairfax VA 22032-1021 Ph: (703) 981-4865 | Prem P. Manchanda Md, Pc 4660 Kenmore Ave 220 Alexandria VA 22304-1313 Ph: (703) 981-4865 |
| NPI Number | 1548553068 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548553068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101057630 (Virginia) | Primary |
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