| Optimum Care Llc | |
|
882 Garrisonville Rd Stafford VA 22554-3907 | |
| (540) 318-6464 | |
| Not Available |
| Full Name | Optimum Care Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 882 Garrisonville Rd, Stafford, Virginia |
| Authorized Official Name and Position | Hamed Kabiri (OWNER) |
| Authorized Official Contact | 7038888100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Care Llc 9703 Carnot Way Vienna VA 22182-3013 Ph: (703) 888-8100 | Optimum Care Llc 882 Garrisonville Rd Stafford VA 22554-3907 Ph: (540) 318-6464 |
| NPI Number | 1093075798 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 04/23/2019 |
| Medicare PECOS PAC ID | 4082870241 |
|---|---|
| Medicare Enrollment ID | O20120717000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093075798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Hamed Kabiri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114181385 PECOS PAC ID: 0143397562 Enrollment ID: I20080925000625 |
| Provider Name | Brian Subach |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598733776 PECOS PAC ID: 5799764726 Enrollment ID: I20201109000382 |
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