Woodbridge Internal Medicine, Pc | |
2022 Opitz Blvd Suite B Woodbridge VA 22191-3323 | |
(703) 910-7390 | |
(703) 910-7392 |
Full Name | Woodbridge Internal Medicine, Pc |
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Speciality | Internal Medicine |
Location | 2022 Opitz Blvd, Woodbridge, Virginia |
Authorized Official Name and Position | Fardin Akrami (OWNER) |
Authorized Official Contact | 7039107390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Woodbridge Internal Medicine, Pc 2022 Opitz Blvd Suite B Woodbridge VA 22191-3323 Ph: (703) 910-7390 | Woodbridge Internal Medicine, Pc 2022 Opitz Blvd Suite B Woodbridge VA 22191-3323 Ph: (703) 910-7390 |
NPI Number | 1912142076 |
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Provider Enumeration Date | 12/03/2008 |
Last Update Date | 01/21/2013 |
Medicare PECOS PAC ID | 5890851281 |
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Medicare Enrollment ID | O20090310000588 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912142076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Fardin Akrami-khasraghi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932155421 PECOS PAC ID: 9234164039 Enrollment ID: I20060110000751 |
Provider Name | Sima Fartash |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750564589 PECOS PAC ID: 5698803526 Enrollment ID: I20100513000245 |
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