| Sanjeev Kohli, Md Pc | |
|
4660 Kenmore Ave Ste 900 Alexandria VA 22304-1383 | |
| (703) 824-9399 | |
| (703) 931-0059 |
| Full Name | Sanjeev Kohli, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4660 Kenmore Ave Ste 900, Alexandria, Virginia |
| Authorized Official Name and Position | Sanjeev Kohli (PRESIDENT) |
| Authorized Official Contact | 7034926726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjeev Kohli, Md Pc 4660 Kenmore Ave Ste 900 Alexandria VA 22304-1383 Ph: (703) 824-9399 | Sanjeev Kohli, Md Pc 4660 Kenmore Ave Ste 900 Alexandria VA 22304-1383 Ph: (703) 824-9399 |
| NPI Number | 1578584512 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 09/10/2014 |
| Medicare PECOS PAC ID | 4587824644 |
|---|---|
| Medicare Enrollment ID | O20120327000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578584512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101-056380 (Virginia) | Primary |
| Provider Name | Sanjeev Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164446167 PECOS PAC ID: 4284793647 Enrollment ID: I20081030000584 |
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