| East Coast Physicians Pc | |
|
525b Euclid Ave Colonial Beach VA 22443-1907 | |
| (804) 224-7890 | |
| Not Available |
| Full Name | East Coast Physicians Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 525b Euclid Ave, Colonial Beach, Virginia |
| Authorized Official Name and Position | Hasan Farkhani (CEO) |
| Authorized Official Contact | 8042247890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Physicians Pc 525b Euclid Ave Colonial Beach VA 22443-1907 Ph: (804) 224-7890 | East Coast Physicians Pc 525b Euclid Ave Colonial Beach VA 22443-1907 Ph: (804) 224-7890 |
| NPI Number | 1841209244 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 10/31/2011 |
| Medicare PECOS PAC ID | 1052410693 |
|---|---|
| Medicare Enrollment ID | O20070622000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841209244 | NPI | - | NPPES |
| 010360111 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101236651 (Virginia) | Primary |
| Provider Name | Hasan Farkhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750485942 PECOS PAC ID: 1355389032 Enrollment ID: I20050422000326 |
Beachgate Family Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Mckinney Blvd Ste 100, Colonial Beach, VA 22443 Phone: 804-224-6322 |