Twin River Medical Clinic Pc | |
1012 Winston Churchill Dr Hopewell VA 23860-5141 | |
(804) 458-8583 | |
(804) 541-2724 |
Full Name | Twin River Medical Clinic Pc |
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Speciality | Internal Medicine |
Location | 1012 Winston Churchill Dr, Hopewell, Virginia |
Authorized Official Name and Position | Abdul Wk Durrani (PRESIDENT) |
Authorized Official Contact | 8044588583 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Twin River Medical Clinic Pc 1012 Winston Churchill Dr Hopewell VA 23860-5141 Ph: (804) 458-8583 | Twin River Medical Clinic Pc 1012 Winston Churchill Dr Hopewell VA 23860-5141 Ph: (804) 458-8583 |
NPI Number | 1306805049 |
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Provider Enumeration Date | 03/21/2006 |
Last Update Date | 02/19/2014 |
Medicare PECOS PAC ID | 7517923790 |
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Medicare Enrollment ID | O20041209000155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306805049 | NPI | - | NPPES |
CH5500 | Other | VA | MEDICARE RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mohammad Mujeebuddin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891764379 PECOS PAC ID: 0446226963 Enrollment ID: I20040907000870 |
Provider Name | Abdul Q Mohiuddin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003885575 PECOS PAC ID: 5597959346 Enrollment ID: I20101105000222 |
Provider Name | Jan A Zarefoss |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497143481 PECOS PAC ID: 1759606478 Enrollment ID: I20150220000984 |
Provider Name | Elizabeth Marie King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033652169 PECOS PAC ID: 9537441308 Enrollment ID: I20170131002632 |
Provider Name | Crystal Moring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609383629 PECOS PAC ID: 7810257797 Enrollment ID: I20180214002583 |
Provider Name | Stefanie L Eads |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437636503 PECOS PAC ID: 2961750971 Enrollment ID: I20180808001245 |
Provider Name | Catherine Schutt Hurte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497390421 PECOS PAC ID: 6002243409 Enrollment ID: I20200225000888 |
Provider Name | Maria Misseri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922622281 PECOS PAC ID: 1254756869 Enrollment ID: I20200729003769 |
Provider Name | Kateria Sha'kee Carter Washington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699375964 PECOS PAC ID: 9335552488 Enrollment ID: I20210108001227 |
Provider Name | Katherine Christine Roach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427648773 PECOS PAC ID: 4789099631 Enrollment ID: I20210226001642 |
Provider Name | Alexis Nicole Leyba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467167551 PECOS PAC ID: 0547632002 Enrollment ID: I20230209000207 |
Provider Name | Stephanie S O'connor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730864927 PECOS PAC ID: 4183086713 Enrollment ID: I20230815001032 |
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