| Winchester Endocrinology Pc | |
|
172 Linden Drive Suite 107 Winchester VA 22601-2892 | |
| (540) 678-0767 | |
| (540) 678-0769 |
| Full Name | Winchester Endocrinology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 172 Linden Drive, Winchester, Virginia |
| Authorized Official Name and Position | Mustapha Abdul-rahman (MD/OWNER) |
| Authorized Official Contact | 5406780767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winchester Endocrinology Pc 172 Linden Drive Suite 107 Winchester VA 22601-2892 Ph: (540) 678-0767 | Winchester Endocrinology Pc 172 Linden Drive Suite 107 Winchester VA 22601-2892 Ph: (540) 678-0767 |
| NPI Number | 1215034798 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 1557464898 |
|---|---|
| Medicare Enrollment ID | O20070307000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215034798 | NPI | - | NPPES |
| DG2224 | Other | VA | RR MEDICARE |
| Provider Name | Mustapha Abdul Rahman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588756886 PECOS PAC ID: 6800999178 Enrollment ID: I20070307000619 |
| Provider Name | Angela L Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093072225 PECOS PAC ID: 3173789054 Enrollment ID: I20120720000304 |
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