| Parktown Medical Associates Llc | |
|
10076 Dumfries Rd Ste 80a Manassas VA 20110-7949 | |
| (703) 424-9911 | |
| (888) 814-0934 |
| Full Name | Parktown Medical Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10076 Dumfries Rd Ste 80a, Manassas, Virginia |
| Authorized Official Name and Position | Pierre Mawesa Diomi (PRESIDENT) |
| Authorized Official Contact | 7034249911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parktown Medical Associates Llc 10076 Dumfries Rd Ste 80a Manassas VA 20110-7949 Ph: (703) 424-9911 | Parktown Medical Associates Llc 10076 Dumfries Rd Ste 80a Manassas VA 20110-7949 Ph: (703) 424-9911 |
| NPI Number | 1356114474 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 0941648398 |
|---|---|
| Medicare Enrollment ID | O20240403003522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356114474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Paul Liszka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942273305 PECOS PAC ID: 4486691482 Enrollment ID: I20050412000226 |
| Provider Name | Pierre Mawesa Diomi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619521051 PECOS PAC ID: 7517297864 Enrollment ID: I20210614002435 |
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