| Family Health Center Pllc | |
|
1004 Sushruta Dr Ste C Martinsburg WV 25401-8801 | |
| (304) 264-0888 | |
| (304) 264-0878 |
| Full Name | Family Health Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1004 Sushruta Dr Ste C, Martinsburg, West Virginia |
| Authorized Official Name and Position | Mehran Khajavi (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3042640888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Pllc P.o. Box 4458 Leesburg VA 20177 Ph: (703) 895-2237 | Family Health Center Pllc 1004 Sushruta Dr Ste C Martinsburg WV 25401-8801 Ph: (304) 264-0888 |
| NPI Number | 1912250663 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 4183863905 |
|---|---|
| Medicare Enrollment ID | O20130626000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912250663 | NPI | - | NPPES |
| 3810026141 | Medicaid | WV | |
| C487 | Other | WV | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 22758 (West Virginia) | Primary |
| Provider Name | Mehran Khajavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013136464 PECOS PAC ID: 8527155639 Enrollment ID: I20071106000157 |
Family Medicine Of Martinsburg, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 651 Foxcroft Ave, Suite 110, Martinsburg, WV 25401 Phone: 304-264-3660 Fax: 304-264-3665 | |
Valley Health Berkeley Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Marcley Dr, Martinsburg, WV 25401 Phone: 304-263-8911 | |
Shenandoah Valley Medical System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 | |
Panhandle Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Aikens Ctr, Martinsburg, WV 25404 Phone: 304-264-2290 Fax: 304-264-2295 | |
Wexford Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Grapevine Rd, Martinsburg, WV 25405 Phone: 630-730-0302 | |
Valley Health Family Medicine - Briarwood Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1004 Sushruta Dr, Suite D, Martinsburg, WV 25401 Phone: 304-262-2538 Fax: 304-262-2583 | |
Mary Ruth Lopez, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 233 Warm Springs Ave, Martinsburg, WV 25404 Phone: 304-262-8686 Fax: 240-485-0916 |