| Washington Internal Medicine Llc | |
|
4229 Lafayette Center Dr Ste 1125b-1 Chantilly VA 20151-1261 | |
| (703) 436-9969 | |
| (703) 574-5585 |
| Full Name | Washington Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4229 Lafayette Center Dr Ste 1125b-1, Chantilly, Virginia |
| Authorized Official Name and Position | Sohan R. Varma (FOUNDER/OWNER) |
| Authorized Official Contact | 7034369969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Internal Medicine Llc Po Box 959 Herndon VA 20172-0959 Ph: (703) 436-9969 | Washington Internal Medicine Llc 4229 Lafayette Center Dr Ste 1125b-1 Chantilly VA 20151-1261 Ph: (703) 436-9969 |
| NPI Number | 1184244808 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 7416373352 |
|---|---|
| Medicare Enrollment ID | O20200821002133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184244808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sohan Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679975049 PECOS PAC ID: 8527288240 Enrollment ID: I20141001001195 |
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