| Olubukola David Bolaji, MD | |
|
8700 Sudley Rd, Manassas, VA 20110-4418 | |
| (703) 396-5292 | |
| (703) 396-5297 |
| Full Name | Olubukola David Bolaji |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 8700 Sudley Rd, Manassas, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497750277 | NPI | - | NPPES |
| 5461151 | Other | TX | AETNA |
| 8P5794 | Other | TX | BCBS |
| 180925301 | Medicaid | TX | |
| 0284562 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M3919 (Texas) | Secondary |
| 207R00000X | Internal Medicine | 0101261217 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virginia Hospital Center | Arlington, VA | Hospital |
| Novant Prince William Medical Center | Manassas, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virginia Hospital Center Physician Group Llc | 8426231119 | 348 |
| Uva Community Health Medical Group Llc | 4688587967 | 351 |
| Entity Name | Virginia Hospital Center Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144415480 PECOS PAC ID: 8426231119 Enrollment ID: O20110317000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Olubukola David Bolaji, MD 7726 Gunston Plz Unit 1164, Lorton, VA 22199-8054 Ph: (817) 773-7014 | Olubukola David Bolaji, MD 8700 Sudley Rd, Manassas, VA 20110-4418 Ph: (703) 396-5292 |
Myung W Choi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 | |
David Mark Demaria, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 302, Manassas, VA 20110 Phone: 703-369-5959 Fax: 703-369-7473 | |
Juan Weiss, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9335 Amaryllis Ave., Manassas, VA 20110 Phone: 703-963-6791 | |
Seraphine A Soosaimanickam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10701 Rosemary Dr, Kaiser Permanente-manassas, Manassas, VA 20109 Phone: 703-257-3000 Fax: 703-257-3133 | |
Dr. Nina Phatak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 | |
Dr. Muhammad Mannan Siddiqui, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 9450 Innovation Dr, Manassas, VA 20110 Phone: 571-350-8400 Fax: 571-222-2202 | |
Solomon D Bagae, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 302, Manassas, VA 20110 Phone: 703-369-5959 |