| Nova Medical Group Pllc | |
|
106 Elden Street Unit 10 Herndon VA 20170 | |
| (703) 495-3176 | |
| Not Available |
| Full Name | Nova Medical Group Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Elden Street, Herndon, Virginia |
| Authorized Official Name and Position | Sapna Sharma (PHYSICIAN) |
| Authorized Official Contact | 7034953176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Group Pllc 14383 Newbrook Drive Suite # 300, Pmb-433 Chantilly VA 20151 Ph: (703) 495-3176 | Nova Medical Group Pllc 106 Elden Street Unit 10 Herndon VA 20170 Ph: (703) 495-3176 |
| NPI Number | 1942803960 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 01/04/2021 |
| Medicare PECOS PAC ID | 3173936986 |
|---|---|
| Medicare Enrollment ID | O20210114002175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942803960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sapna Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982903829 PECOS PAC ID: 9335317486 Enrollment ID: I20130827000868 |
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