| Healthall Physicians Group | |
|
14614 Charter Walk Pl Midlothian VA 23114-4699 | |
| (540) 520-3507 | |
| (804) 794-4490 |
| Full Name | Healthall Physicians Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 14614 Charter Walk Pl, Midlothian, Virginia |
| Authorized Official Name and Position | Fouad Farooqi (CEO) |
| Authorized Official Contact | 5405203507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthall Physicians Group 14614 Charter Walk Pl Midlothian VA 23114-4699 Ph: (540) 520-3507 | Healthall Physicians Group 14614 Charter Walk Pl Midlothian VA 23114-4699 Ph: (540) 520-3507 |
| NPI Number | 1083920706 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 08/19/2010 |
| Medicare PECOS PAC ID | 9436370822 |
|---|---|
| Medicare Enrollment ID | O20141029000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083920706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101239733 (Virginia) | Primary |
| Provider Name | Shazia Habib Farooqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770699613 PECOS PAC ID: 7911001763 Enrollment ID: I20070403000607 |
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