| Fairfax Internal Medicine And Primary Care Pc | |
|
5618 Ox Rd Suite D-2 Fairfax Station VA 22039 | |
| (703) 291-0405 | |
| (703) 337-0377 |
| Full Name | Fairfax Internal Medicine And Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5618 Ox Rd, Fairfax Station, Virginia |
| Authorized Official Name and Position | Karuna Galla (PHYSICIAN) |
| Authorized Official Contact | 7032910405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Internal Medicine And Primary Care Pc 5618 Ox Rd Suite D-2 Fairfax Station VA 22039 Ph: (703) 291-0405 | Fairfax Internal Medicine And Primary Care Pc 5618 Ox Rd Suite D-2 Fairfax Station VA 22039 Ph: (703) 291-0405 |
| NPI Number | 1831647239 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831647239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 0101250312 (Virginia) | Primary |
Clifton Station Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9015 Silverbrook Rd, Suite 106, Fairfax Station, VA 22039 Phone: 703-495-9148 | |
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