| Vcm Family Medicine | |
|
24585 Stone Carver Dr Unit 210 Aldie VA 20105-2798 | |
| (571) 451-8618 | |
| Not Available |
| Full Name | Vcm Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 24585 Stone Carver Dr Unit 210, Aldie, Virginia |
| Authorized Official Name and Position | Aruna Medimpudi (MD/FAMILY PHYSICIAN) |
| Authorized Official Contact | 5714518618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcm Family Medicine 23020 Bryndon Hall Pl Ashburn VA 20148-1787 Ph: (571) 451-8618 | Vcm Family Medicine 24585 Stone Carver Dr Unit 210 Aldie VA 20105-2798 Ph: (571) 451-8618 |
| NPI Number | 1831669761 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 07/09/2019 |
| Medicare PECOS PAC ID | 5496096281 |
|---|---|
| Medicare Enrollment ID | O20190404000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831669761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aruna Medimpudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639483829 PECOS PAC ID: 9830323831 Enrollment ID: I20131007000302 |
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