| Prima Medicine | |
|
3903 Fair Ridge Dr Suite 218 Fairfax VA 22033-2943 | |
| (703) 870-3750 | |
| (703) 594-8604 |
| Full Name | Prima Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 3903 Fair Ridge Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Chethana V Rao (DIRECTOR) |
| Authorized Official Contact | 7038703750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prima Medicine 3903 Fair Ridge Dr Suite 218 Fairfax VA 22033-2943 Ph: (703) 870-3750 | Prima Medicine 3903 Fair Ridge Dr Suite 218 Fairfax VA 22033-2943 Ph: (703) 870-3750 |
| NPI Number | 1619290582 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619290582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101235757 (Virginia) | Primary |
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