| Quality Internal Medicine, Pllc | |
|
1860 Town Center Drive Suite 255 Reston VA 20190-5906 | |
| (703) 707-0607 | |
| (703) 707-0949 |
| Full Name | Quality Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1860 Town Center Drive, Reston, Virginia |
| Authorized Official Name and Position | Anne Rose Navarro Eapen (PHYSICIAN-OWNER) |
| Authorized Official Contact | 7038551119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Internal Medicine, Pllc 1860 Town Center Drive Suite 255 Reston VA 20190-5906 Ph: (703) 707-0607 | Quality Internal Medicine, Pllc 1860 Town Center Drive Suite 255 Reston VA 20190-5906 Ph: (703) 707-0607 |
| NPI Number | 1497936017 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 09/28/2020 |
| Medicare PECOS PAC ID | 7911081732 |
|---|---|
| Medicare Enrollment ID | O20080303000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497936017 | NPI | - | NPPES |
| 570451 | Other | VA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 101045101 (Virginia) | Primary |
| Provider Name | Anne Rose N Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689661431 PECOS PAC ID: 4082798806 Enrollment ID: I20080303000477 |
| Provider Name | Diane L Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962019505 PECOS PAC ID: 1153734967 Enrollment ID: I20210114002258 |
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