| Virginia Geriatrics, Pc | |
|
41816 Fenway Cir Ashburn VA 20148-8069 | |
| (347) 761-7200 | |
| (703) 327-1166 |
| Full Name | Virginia Geriatrics, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 41816 Fenway Cir, Ashburn, Virginia |
| Authorized Official Name and Position | Amr Behiri (OWNER) |
| Authorized Official Contact | 3477617200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Geriatrics, Pc 41816 Fenway Cir Ashburn VA 20148-8069 Ph: (347) 761-7200 | Virginia Geriatrics, Pc 41816 Fenway Cir Ashburn VA 20148-8069 Ph: (347) 761-7200 |
| NPI Number | 1346750320 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 10/04/2017 |
| Medicare PECOS PAC ID | 5092074674 |
|---|---|
| Medicare Enrollment ID | O20180108001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346750320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 0102202559 (Virginia) | Primary |
| Provider Name | Amr Behiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154588580 PECOS PAC ID: 0749351906 Enrollment ID: I20110512000157 |
| Provider Name | Tayseer Aldaghlas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427334747 PECOS PAC ID: 6901051788 Enrollment ID: I20130227000632 |
| Provider Name | Tushaun A Egbue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528591674 PECOS PAC ID: 2365719473 Enrollment ID: I20170524000000 |
| Provider Name | Moses Albert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740359017 PECOS PAC ID: 8022193135 Enrollment ID: I20201007001115 |
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