| State Department | |
|
6190 Kathmandu Pl Dulles VA 20189-6191 | |
| (303) 653-2358 | |
| Not Available |
| Full Name | State Department |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6190 Kathmandu Pl, Dulles, Virginia |
| Authorized Official Name and Position | Karen Mera (FSHP) |
| Authorized Official Contact | 97714007263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Department Po Box 295 Kathmandu NEPAL 00000 Ph: (977) 140-07263 | State Department 6190 Kathmandu Pl Dulles VA 20189-6191 Ph: (303) 653-2358 |
| NPI Number | 1578819579 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 07/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578819579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | F1009052 (Colorado) | Primary |
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