Trahos Medical Enterprises Pllc | |
1707 Osage St Suite 203 Alexandria VA 22302-2607 | |
(703) 998-4913 | |
(703) 931-8171 |
Full Name | Trahos Medical Enterprises Pllc |
---|---|
Speciality | Family Medicine |
Location | 1707 Osage St, Alexandria, Virginia |
Authorized Official Name and Position | Michael C Trahos (SOLE MEMBER) |
Authorized Official Contact | 7039984913 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Trahos Medical Enterprises Pllc 1707 Osage Street Suite 203 Alexandria VA 22302-2611 Ph: (703) 998-4913 | Trahos Medical Enterprises Pllc 1707 Osage St Suite 203 Alexandria VA 22302-2607 Ph: (703) 998-4913 |
NPI Number | 1386723583 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 04/10/2012 |
Medicare PECOS PAC ID | 9931129608 |
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Medicare Enrollment ID | O20051128000465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386723583 | NPI | - | NPPES |
010201021 | Medicaid | VA | |
144441 | Other | VA | SOUTHERN HEALTH SERV. INC. |
470178 | Other | VA | AETNA HMO |
976064 | Other | VA | MAILHANDLERS |
1433740 | Other | VA | CIGNA |
2138371 | Other | VA | UNITED HEALTHCARE/ONE NET PPO |
4088139 | Other | VA | AETNA |
8138371 | Other | VA | MDIPA/OPTIMUM CHOICE HMO |
8857-0001 | Other | DC | BC/BS OF NATIONAL CAPITAL AREA |
182247 | Other | VA | ANTHEM BC/BS OF VA |
503495 | Other | VA | UNICARE |
280953 | Other | VA | UNITED HEALTHCARE |
Provider Name | Michael C Trahos |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1851570899 PECOS PAC ID: 6103846878 Enrollment ID: I20051128000472 |
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