| Cardinal Internal Medicine Associates | |
|
12731 Marblestone Dr Ste 200 Woodbridge VA 22192-8334 | |
| (703) 897-4700 | |
| (703) 897-6603 |
| Full Name | Cardinal Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 12731 Marblestone Dr Ste 200, Woodbridge, Virginia |
| Authorized Official Name and Position | Nazanin Alemzadeh (PHYSICIAN/CO-PRESIDENT) |
| Authorized Official Contact | 7038974700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Internal Medicine Associates Po Box 2068 Woodbridge VA 22195-2068 Ph: () - | Cardinal Internal Medicine Associates 12731 Marblestone Dr Ste 200 Woodbridge VA 22192-8334 Ph: (703) 897-4700 |
| NPI Number | 1881771467 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 2769379148 |
|---|---|
| Medicare Enrollment ID | O20040301001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881771467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zoila P Congleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336152198 PECOS PAC ID: 0840340485 Enrollment ID: I20090602000647 |
| Provider Name | Atoussa Farough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902063720 PECOS PAC ID: 0446304901 Enrollment ID: I20090820000606 |
| Provider Name | Nazanin Alemzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700987823 PECOS PAC ID: 8729975115 Enrollment ID: I20100803000606 |
| Provider Name | Sohail Moussavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265521611 PECOS PAC ID: 3173410560 Enrollment ID: I20100923000761 |
| Provider Name | Amir Alemzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205926854 PECOS PAC ID: 4981591377 Enrollment ID: I20110422000456 |
| Provider Name | Abu B Sheriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043764632 PECOS PAC ID: 6103109517 Enrollment ID: I20170209001144 |
| Provider Name | Lauren E Mozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740438233 PECOS PAC ID: 4486715844 Enrollment ID: I20200304001241 |
| Provider Name | Jihyun Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346886850 PECOS PAC ID: 0042649378 Enrollment ID: I20200805002496 |
| Provider Name | Joelle Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275299315 PECOS PAC ID: 8527453299 Enrollment ID: I20220331003068 |
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