| Prime Medical Care,llc | |
|
8101 Hinson Farm Rd Suite 208 Alexandria VA 22306-3403 | |
| (703) 746-8408 | |
| (703) 746-8407 |
| Full Name | Prime Medical Care,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8101 Hinson Farm Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Dan Bishwakarma (DIRECTOR) |
| Authorized Official Contact | 7037468408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Medical Care,llc 8101 Hinson Farm Rd Suite 208 Alexandria VA 22306-3403 Ph: (703) 746-8408 | Prime Medical Care,llc 8101 Hinson Farm Rd Suite 208 Alexandria VA 22306-3403 Ph: (703) 746-8408 |
| NPI Number | 1962751966 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 12/26/2012 |
| Medicare PECOS PAC ID | 0840443842 |
|---|---|
| Medicare Enrollment ID | O20121226000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962751966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101243193 (Virginia) | Primary |
| Provider Name | Dan Bahadur Bishwakarma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184891665 PECOS PAC ID: 8921175142 Enrollment ID: I20080930000170 |
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