| Washington Medical Care Llc | |
|
14904 Jefferson Davis Hwy Ste 306 Woodbridge VA 22191-3908 | |
| (703) 494-1133 | |
| Not Available |
| Full Name | Washington Medical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14904 Jefferson Davis Hwy Ste 306, Woodbridge, Virginia |
| Authorized Official Name and Position | Neha Grover (OWNER) |
| Authorized Official Contact | 7034941133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Medical Care Llc 14904 Jefferson Davis Hwy Ste 306 Woodbridge VA 22191-3908 Ph: (703) 494-1133 | Washington Medical Care Llc 14904 Jefferson Davis Hwy Ste 306 Woodbridge VA 22191-3908 Ph: (703) 494-1133 |
| NPI Number | 1407384621 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 01/16/2018 |
| Medicare PECOS PAC ID | 8325319080 |
|---|---|
| Medicare Enrollment ID | O20170731000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407384621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101262261 (Virginia) | Primary |
| Provider Name | Neha Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255688701 PECOS PAC ID: 9234400995 Enrollment ID: I20170731000890 |
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