| Total Health Medical Center Inc | |
|
3930 Pender Dr Suite 110 Fairfax VA 22030-0985 | |
| (703) 352-4194 | |
| (703) 352-5811 |
| Full Name | Total Health Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3930 Pender Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Shabnam Sachdeva (CEO) |
| Authorized Official Contact | 7033524194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Health Medical Center Inc 3930 Pender Dr Suite 110 Fairfax VA 22030-0985 Ph: (703) 352-4194 | Total Health Medical Center Inc 3930 Pender Dr Suite 110 Fairfax VA 22030-0985 Ph: (703) 352-4194 |
| NPI Number | 1326237132 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 4880781046 |
|---|---|
| Medicare Enrollment ID | O20071105000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326237132 | NPI | - | NPPES |
| 1598786717 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101231864 (Virginia) | Primary |
| Provider Name | Shabnam Sachdeva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598786717 PECOS PAC ID: 0244327401 Enrollment ID: I20071105000234 |
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