Diksha Gupta, | |
9409 Old Burke Lake Rd # B, Burke, VA 22015-3127 | |
(703) 978-4200 | |
Not Available |
Full Name | Diksha Gupta |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 5 Years |
Location | 9409 Old Burke Lake Rd # B, Burke, Virginia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912467192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0102207087 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1176 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Diksha Gupta, 9409 Old Burke Lake Rd # B, Burke, VA 22015-3127 Ph: (703) 978-4200 | Diksha Gupta, 9409 Old Burke Lake Rd # B, Burke, VA 22015-3127 Ph: (703) 978-4200 |
Dr. Alton Glenn Tucker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8991 Cotswold Drive, Burke, VA 22015 Phone: 703-440-4050 Fax: 703-440-8246 | |
Dr. Federico Sanabria, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9409b Old Burke Lake Rd, Burke, VA 22015 Phone: 703-978-4200 Fax: 703-503-8263 | |
Dr. Nagui N Saleh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5999 Burke Commons Road, Burke, VA 22015 Phone: 703-249-7700 Fax: 703-249-7766 | |
Ken Lee Moles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9409 B Old Burke Lake Rd, Burke, VA 22015 Phone: 703-978-4200 Fax: 703-503-8263 | |
Cheryl Anne Ostrowski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9409-8 Old Burke Lake Road, Burke, VA 22015 Phone: 703-978-4200 Fax: 703-503-8263 | |
Glenn Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9409 B Old Burke Lake Rd, Burke, VA 22015 Phone: 703-978-4200 Fax: 703-503-8263 | |
Rebecca Verga, Family Medicine Medicare: Medicare Enrolled Practice Location: 9409 Old Burke Lake Rd, Burke, VA 22015 Phone: 703-978-4200 |