| 4h Medical Llc | |
|
1035 Sterling Rd Ste 104 Herndon VA 20170-3838 | |
| (703) 840-0610 | |
| (571) 323-3243 |
| Full Name | 4h Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1035 Sterling Rd Ste 104, Herndon, Virginia |
| Authorized Official Name and Position | Han Tonthat (OFFICER) |
| Authorized Official Contact | 7038400610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4h Medical Llc 1035 Sterling Rd Ste 104 Herndon VA 20170-3838 Ph: (703) 840-0610 | 4h Medical Llc 1035 Sterling Rd Ste 104 Herndon VA 20170-3838 Ph: (703) 840-0610 |
| NPI Number | 1902067655 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 9931275310 |
|---|---|
| Medicare Enrollment ID | O20080909000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902067655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Virginia) | Primary |
| Provider Name | Han Tonthat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801897335 PECOS PAC ID: 3779684345 Enrollment ID: I20070726000330 |
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