| Internal Medicine Group LLC | |
|
3301 Woodburn Rd Suite 304 Annandale VA 22003-1229 | |
| (703) 204-0355 | |
| (703) 204-0356 |
| Full Name | Internal Medicine Group LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3301 Woodburn Rd, Annandale, Virginia |
| Authorized Official Name and Position | Tahir Shaikh (DIRECTOR) |
| Authorized Official Contact | 7032040355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Group LLC 4034 Cairo Pl Woodbridge VA 22192-7616 | Internal Medicine Group LLC 3301 Woodburn Rd Suite 304 Annandale VA 22003-1229 Ph: (703) 204-0355 |
| NPI Number | 1356601058 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 05/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356601058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0102202240 (Virginia) | Primary |
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