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PRISMAMED SERVICES LLC NPI 1386079788


NPI Information

NPI: 1386079788
Provider Name: PRISMAMED SERVICES LLC

Doing Business As: VIRGINIA PREMIUM MEDICAL CARE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
44790 MAYNARD SQUARE
SUITE 320
ASHBURN, VA
ZIP 20147
Phone: (703) 868-3011
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PRISMAMED SERVICES LLC is an internal medicine in Ashburn, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRISMAMED SERVICES LLC NPI is 1386079788. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Virginia Premium Medical Care.

The provider's business location address is:

44790 MAYNARD SQUARE
SUITE 320
ASHBURN, VA
ZIP 20147
Phone: (703) 868-3011

The provider's authorized official is Vandana Palagiri .
The authorized official title is President and has the following contact phone number (703) 868-3011.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 6/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine0101250130VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1230988ZBSUMEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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