Alexandria Family Practice | |
3541 W Braddock Rd Ste 100 Alexandria VA 22302-1922 | |
(540) 675-4715 | |
(877) 460-4228 |
Full Name | Alexandria Family Practice |
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Speciality | Family Medicine |
Location | 3541 W Braddock Rd Ste 100, Alexandria, Virginia |
Authorized Official Name and Position | Saira Thompson (PHYSICIAN/OWNER) |
Authorized Official Contact | 7037807034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alexandria Family Practice 3541 W Braddock Rd Ste 100 Alexandria VA 22302-1922 Ph: (540) 675-4715 | Alexandria Family Practice 3541 W Braddock Rd Ste 100 Alexandria VA 22302-1922 Ph: (540) 675-4715 |
NPI Number | 1609489483 |
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Provider Enumeration Date | 08/31/2020 |
Last Update Date | 03/25/2021 |
Medicare PECOS PAC ID | 3072922301 |
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Medicare Enrollment ID | O20210517001818 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609489483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Saira Thompson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780815738 PECOS PAC ID: 0244475465 Enrollment ID: I20190523000134 |
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