| Virginia Premium Medical Care | |
|
44790 Maynard Square Suite 320 Ashburn VA 20147 | |
| (703) 868-3011 | |
| Not Available |
| Full Name | Virginia Premium Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 44790 Maynard Square, Ashburn, Virginia |
| Authorized Official Name and Position | Vandana Palagiri (PRESIDENT) |
| Authorized Official Contact | 7038683011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Premium Medical Care 44790 Maynard Square Suite 320 Ashburn VA 20147 Ph: (703) 868-3011 | Virginia Premium Medical Care 44790 Maynard Square Suite 320 Ashburn VA 20147 Ph: (703) 868-3011 |
| NPI Number | 1386079788 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 06/22/2017 |
| Medicare PECOS PAC ID | 1951537190 |
|---|---|
| Medicare Enrollment ID | O20131119000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386079788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101250130 (Virginia) | Primary |
| Provider Name | Vandana Palagiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194973537 PECOS PAC ID: 8527233063 Enrollment ID: I20111212000084 |
| Provider Name | Hanan Sultan Seid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447772744 PECOS PAC ID: 7719259118 Enrollment ID: I20201014000237 |
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