| Primary Care Doctors Group,pc | |
|
2616 Sherwood Hall Ln Suite 303 Alexandria VA 22306-3100 | |
| (703) 799-1118 | |
| (703) 799-1586 |
| Full Name | Primary Care Doctors Group,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2616 Sherwood Hall Ln, Alexandria, Virginia |
| Authorized Official Name and Position | Bejjenki S Chary (PRESIDENT) |
| Authorized Official Contact | 2022913122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Doctors Group,pc 2616 Sherwood Hall Ln Suite 303 Alexandria VA 22306-3100 Ph: (703) 799-1118 | Primary Care Doctors Group,pc 2616 Sherwood Hall Ln Suite 303 Alexandria VA 22306-3100 Ph: (703) 799-1118 |
| NPI Number | 1083839211 |
|---|---|
| Provider Enumeration Date | 04/14/2007 |
| Last Update Date | 07/24/2011 |
| Medicare PECOS PAC ID | 8527031731 |
|---|---|
| Medicare Enrollment ID | O20040817000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083839211 | NPI | - | NPPES |
| 023831200 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bejjenki S Chary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720068992 PECOS PAC ID: 4880667096 Enrollment ID: I20120120000378 |
| Provider Name | Aladdin A Bolad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245230879 PECOS PAC ID: 5799758900 Enrollment ID: I20120209000157 |
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