| Dr.carpousis,m.d,ltd | |
|
2001 Columbia Pike Apt 131 Arlington VA 22204-4556 | |
| (703) 979-1777 | |
| (703) 979-8258 |
| Full Name | Dr.carpousis,m.d,ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 Columbia Pike Apt 131, Arlington, Virginia |
| Authorized Official Name and Position | Dean Carpousis (CEO) |
| Authorized Official Contact | 7039791777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.carpousis,m.d,ltd 2001 Columbia Pike Apt 131 Arlington VA 22204-4556 Ph: (703) 979-1777 | Dr.carpousis,m.d,ltd 2001 Columbia Pike Apt 131 Arlington VA 22204-4556 Ph: (703) 979-1777 |
| NPI Number | 1194491407 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Medicare PECOS PAC ID | 9133297732 |
|---|---|
| Medicare Enrollment ID | O20081009000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194491407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Dean P Carpousis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598711426 PECOS PAC ID: 0244226009 Enrollment ID: I20040426000574 |
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