| Alphatelemed.com | |
|
46179 Westlake Dr Ste 330 Sterling VA 20165-5874 | |
| (703) 589-9964 | |
| (571) 252-7100 |
| Full Name | Alphatelemed.com |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 46179 Westlake Dr Ste 330, Sterling, Virginia |
| Authorized Official Name and Position | Mubin Jiwani (MANAGING MEMBER) |
| Authorized Official Contact | 7035899964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alphatelemed.com 10919 Belgravia Ct Great Falls VA 22066-3106 Ph: (703) 589-9964 | Alphatelemed.com 46179 Westlake Dr Ste 330 Sterling VA 20165-5874 Ph: (703) 589-9964 |
| NPI Number | 1295393791 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 04/03/2026 |
| Certification Date | 04/03/2026 |
| Medicare PECOS PAC ID | 7618203050 |
|---|---|
| Medicare Enrollment ID | O20190724000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295393791 | NPI | - | NPPES |
| Provider Name | Wilfredo Morges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871007377 PECOS PAC ID: 8729347257 Enrollment ID: I20190430000111 |
| Provider Name | Kimberly Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200645 PECOS PAC ID: 3072735703 Enrollment ID: I20190514000463 |
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