| West Lake Internal Medicine | |
|
46175 Westlake Dr Ste 440 Sterling VA 20165-5873 | |
| (571) 375-0016 | |
| (571) 375-0073 |
| Full Name | West Lake Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 46175 Westlake Dr, Sterling, Virginia |
| Authorized Official Name and Position | Katie Del Pierro (OWNER) |
| Authorized Official Contact | 5713750016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Lake Internal Medicine 21047 Stanford Sq 401 Sterling VA 20166-2457 Ph: (571) 375-0016 | West Lake Internal Medicine 46175 Westlake Dr Ste 440 Sterling VA 20165-5873 Ph: (571) 375-0016 |
| NPI Number | 1386066520 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Medicare PECOS PAC ID | 8426304072 |
|---|---|
| Medicare Enrollment ID | O20190327000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386066520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101235464 (Virginia) | Primary |
| Provider Name | Katie Del Pierro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487613410 PECOS PAC ID: 6103833751 Enrollment ID: I20160323001401 |
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