| Ymphysician Care Services Llc | |
|
300 Park Hill Dr Fredericksburg VA 22401-3387 | |
| (540) 522-6101 | |
| Not Available |
| Full Name | Ymphysician Care Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Park Hill Dr, Fredericksburg, Virginia |
| Authorized Official Name and Position | Yemisrach Mulugeta (OWNER) |
| Authorized Official Contact | 5405226101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ymphysician Care Services Llc 5786 Coachview Ct Haymarket VA 20169-3207 Ph: (540) 522-6101 | Ymphysician Care Services Llc 300 Park Hill Dr Fredericksburg VA 22401-3387 Ph: (540) 522-6101 |
| NPI Number | 1275394074 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 6406291772 |
|---|---|
| Medicare Enrollment ID | O20240226003448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275394074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yemisrach Mulugeta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770675829 PECOS PAC ID: 5496720344 Enrollment ID: I20040901001482 |
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