| Ridgeview Internal Medicine | |
|
2000 Opitz Blvd Woodbridge VA 22191-3306 | |
| (703) 499-9144 | |
| (703) 497-0051 |
| Full Name | Ridgeview Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 Opitz Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Nizar Hussain (PHYSICIAN) |
| Authorized Official Contact | 7034944116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Internal Medicine 2000 Opitz Blvd Woodbridge VA 22191 Ph: (703) 499-9144 | Ridgeview Internal Medicine 2000 Opitz Blvd Woodbridge VA 22191-3306 Ph: (703) 499-9144 |
| NPI Number | 1861437139 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 02/05/2008 |
| Medicare PECOS PAC ID | 7416990593 |
|---|---|
| Medicare Enrollment ID | O20050609000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861437139 | NPI | - | NPPES |
| K792 | Other | VA | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Deana G Al-khateeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851381701 PECOS PAC ID: 7113960295 Enrollment ID: I20050609000381 |
| Provider Name | Harriet V Greenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790897122 PECOS PAC ID: 5092954552 Enrollment ID: I20150427001480 |
| Provider Name | Monica Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417289406 PECOS PAC ID: 3577702034 Enrollment ID: I20150512001466 |
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