| Mid-atlantic Health Service Providers | |
|
43713 Red House Dr Leesburg VA 20176-1628 | |
| (571) 246-3628 | |
| Not Available |
| Full Name | Mid-atlantic Health Service Providers |
|---|---|
| Speciality | Internal Medicine |
| Location | 43713 Red House Dr, Leesburg, Virginia |
| Authorized Official Name and Position | Menbere Bahru (PRESIDENT) |
| Authorized Official Contact | 5712463628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-atlantic Health Service Providers 43713 Red House Dr Leesburg VA 20176-1628 Ph: (571) 246-3628 | Mid-atlantic Health Service Providers 43713 Red House Dr Leesburg VA 20176-1628 Ph: (571) 246-3628 |
| NPI Number | 1154714301 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154714301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101240774 (Virginia) | Primary |
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