The Gastroenterology Group, P.c. | |
1939 Roland Clarke Pl Ste 200 Reston VA 20191-1445 | |
(703) 435-3366 | |
(703) 782-8833 |
Full Name | The Gastroenterology Group, P.c. |
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Speciality | Internal Medicine |
Location | 1939 Roland Clarke Pl Ste 200, Reston, Virginia |
Authorized Official Name and Position | Patricia Darlene Glenn (OFFICE MANAGER) |
Authorized Official Contact | 7037662650 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Gastroenterology Group, P.c. 1939 Roland Clarke Pl Ste 200 Reston VA 20191-1445 Ph: (703) 435-3366 | The Gastroenterology Group, P.c. 1939 Roland Clarke Pl Ste 200 Reston VA 20191-1445 Ph: (703) 435-3366 |
NPI Number | 1548358831 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 06/22/2021 |
Medicare PECOS PAC ID | 3173586500 |
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Medicare Enrollment ID | O20041115000511 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548358831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Eduardo Noguera |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1295791176 PECOS PAC ID: 0446209514 Enrollment ID: I20050114000679 |
Provider Name | Emil Valle |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1497711238 PECOS PAC ID: 5395734354 Enrollment ID: I20050510000634 |
Provider Name | Shilen Lakhani |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1871503599 PECOS PAC ID: 3678596558 Enrollment ID: I20060105000805 |
Provider Name | Anita Wolke |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215993068 PECOS PAC ID: 9537122965 Enrollment ID: I20080728000009 |
Provider Name | Andrew Axelrad |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1073579876 PECOS PAC ID: 2567563570 Enrollment ID: I20110520000688 |
Provider Name | Alan Plotner |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114983004 PECOS PAC ID: 1557462561 Enrollment ID: I20110627000508 |
Provider Name | Minal Patel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588848089 PECOS PAC ID: 5890966337 Enrollment ID: I20110914000268 |
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