| Endocrine Solutions LLC | |
|
1850 Town Center Pkwy Reston VA 20190-3204 | |
| (571) 353-4614 | |
| Not Available |
| Full Name | Endocrine Solutions LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1850 Town Center Pkwy, Reston, Virginia |
| Authorized Official Name and Position | Samim Enayat (OWNER) |
| Authorized Official Contact | 6158790587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Solutions LLC 44050 Ashburn Shopping Plaza Suite 195 - #702 Ashburn VA 20147 | Endocrine Solutions LLC 1850 Town Center Pkwy Reston VA 20190-3204 Ph: (571) 353-4614 |
| NPI Number | 1316650997 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 01/01/2023 |
| Certification Date | 01/01/2023 |
| Medicare PECOS PAC ID | 7618341140 |
|---|---|
| Medicare Enrollment ID | O20230323000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316650997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Samim Enayat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700053824 PECOS PAC ID: 3779756713 Enrollment ID: I20220209002562 |
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