| Dr Susan E Mannan, MD | |
|
3903-a Fair Ridge Dr., Fairfax, VA 22033 | |
| (703) 648-0030 | |
| (703) 648-9028 |
| Full Name | Dr Susan E Mannan |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 23 Years |
| Location | 3903-a Fair Ridge Dr., Fairfax, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982735437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | C7-0003656 (Delaware) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| 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 |
|---|---|
| Dr Susan E Mannan, MD 3903-a Fair Ridge Drive, Fairfax, VA 22033 Ph: (703) 648-0030 | Dr Susan E Mannan, MD 3903-a Fair Ridge Dr., Fairfax, VA 22033 Ph: (703) 648-0030 |
Dr. Darlene Mansoor, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct Ste 300, Fairfax, VA 22031 Phone: 703-876-2788 | |
Dr. Yasmin Hamzavi Abedi, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 8503 Arlington Blvd Ste 140, Fairfax, VA 22031 Phone: 703-573-4440 | |
Dr. Richard R. Rosenthal, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 8318 Arlington Blvd, Suite #308, Fairfax, VA 22031 Phone: 703-573-4440 Fax: 703-280-4650 |