| Skyline Medical Center Inc | |
|
5276 Dawes Ave Alexandria VA 22311-1404 | |
| (571) 777-8494 | |
| Not Available |
| Full Name | Skyline Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5276 Dawes Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Tesfaye Tetemke (OWNER) |
| Authorized Official Contact | 5717778494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Medical Center Inc 6005 Walhaven Dr Alexandria VA 22310-2621 Ph: (703) 888-2850 | Skyline Medical Center Inc 5276 Dawes Ave Alexandria VA 22311-1404 Ph: (571) 777-8494 |
| NPI Number | 1285097683 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 11/23/2017 |
| Medicare PECOS PAC ID | 9537451588 |
|---|---|
| Medicare Enrollment ID | O20160712001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285097683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101244617 (Virginia) | Primary |
| Provider Name | Tesfaye Tetemke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255599239 PECOS PAC ID: 7012060981 Enrollment ID: I20090727000061 |
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