| Clifton Centreville Medical Associates | |
|
5895 Trinity Pkwy Suite 100 Centreville VA 20120-1995 | |
| (703) 802-2004 | |
| (703) 802-2113 |
| Full Name | Clifton Centreville Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 5895 Trinity Pkwy, Centreville, Virginia |
| Authorized Official Name and Position | Malak K Isaac (MEDICAL DOCTOR /SOLE OWNER) |
| Authorized Official Contact | 7038251401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton Centreville Medical Associates 5895 Trinity Pkwy Suite 100 Centreville VA 20120-1996 Ph: (703) 825-1401 | Clifton Centreville Medical Associates 5895 Trinity Pkwy Suite 100 Centreville VA 20120-1995 Ph: (703) 802-2004 |
| NPI Number | 1912078619 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 7416987904 |
|---|---|
| Medicare Enrollment ID | O20050815000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912078619 | NPI | - | NPPES |
| 006078508 | Medicaid | VA | |
| VV1662B | Other | VA | MEDICARE GBA |
| Provider Name | Alan R Levinstone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992709265 PECOS PAC ID: 8921107343 Enrollment ID: I20101115000034 |
| Provider Name | Mariya Bourget |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477870541 PECOS PAC ID: 4880880145 Enrollment ID: I20101129000445 |
| Provider Name | Malak Isaac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922130228 PECOS PAC ID: 8022115815 Enrollment ID: I20151013000634 |
New Life Acupuncture Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14637 Lee Hwy Ste 204, Centreville, VA 20121 Phone: 240-723-2957 | |
Infectious Diseases Specialists Of Virginia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13890 Braddock Rd Ste 206, Centreville, VA 20121 Phone: 703-758-2664 Fax: 703-758-2668 | |
Shangri-la Integrated Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13890 Braddock Rd Ste 300, Centreville, VA 20121 Phone: 571-655-2281 | |
Rapha Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14631 Lee Hwy Ste 311, Centreville, VA 20121 Phone: 703-991-2500 Fax: 571-992-1500 | |
Cyril Joseph Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6105 Oakengateway, Centreville, VA 20120 Phone: 703-577-8745 Fax: 703-471-1173 | |
Centreville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13890 Braddock Rd, Suite 201, Centreville, VA 20121 Phone: 703-631-0331 Fax: 703-631-2573 | |
Centreville-chantilly Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5715 Centre Square Dr, Centreville, VA 20120 Phone: 703-631-5151 Fax: 703-631-9754 |