Active NPI 1952346066 Individual Practitioner Male Practitioner

Dr. Navdeep Mathur , MD

Internal Medicine • Manassas, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Navdeep Mathur, MD is a certified Internal Medicine practicing in Manassas, VA. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Mathur delivers high-quality medical care to the local community at 8428 DORSEY CIR.

Dr. Mathur maintains professional affiliations with Virginia Urgent Andprimary Care Llc, Legacy Healthcare Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8428 Dorsey Cir
Suite 101

Manassas, VA 201108302

Telephone 5713798827

Fax 8882244936

Associated Practice Facility / Clinic

🏢 Manassas Primary Care, Llc Facility NPI 1972892065

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Manassas, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -5.3 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

30 Specialists

Practicing in Manassas, VA (3758 Statewide)

Telehealth Adoption Rate

26.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

40.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathur (23 Years) 23 Yrs

Manassas Specialty Average (28.3 Years) 28.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	162	$216.92	$133.22
99213 Established patient office or other outpatient visit, typically 15 minutes	213	126	$175.35	$94.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$182.88	$130.12
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	53	38	$25.00	$17.08
36415 Insertion of needle into vein for collection of blood sample	50	41	$15.60	$8.65
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	47	45	$150.00	$61.21
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	27	14	$80.00	$46.86
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	27	22	$75.00	$34.62
87804 Detection test by immunoassay with direct visual observation for influenza virus	27	23	$35.19	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$221.88	$122.58
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	21	19	$135.00	$82.10
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	19	$35.00	$16.20
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	17	17	$80.00	$47.85
71046 X-ray of chest, 2 views	16	15	$101.56	$38.60
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$265.71	$181.46
99496 Transitional care management services for problem of high complexity	13	11	$420.54	$290.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$268.85	$184.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$270.00	$179.14
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$80.00	$16.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	591	147	$150.00	$117.12
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	383	157	$200.00	$163.80
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	335	80	$135.48	$83.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	162	$213.12	$132.73
99213 Established patient office or other outpatient visit, typically 15 minutes	216	135	$175.00	$96.40
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	147	128	$250.00	$147.27
99316 Nursing facility discharge management, more than 30 minutes	102	98	$150.00	$144.98
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	73	42	$116.10	$48.90
36415 Insertion of needle into vein for collection of blood sample	69	57	$10.29	$8.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$244.92	$132.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$210.58	$124.24
99344 New patient home visit, typically 1 hour	38	38	$188.42	$155.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	31	$130.27	$56.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$262.00	$183.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$271.90	$169.04
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	29	28	$75.00	$34.62
99496 Transitional care management services for problem of high complexity	24	20	$362.50	$311.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	22	$35.45	$16.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$34.47	$16.20
99306 Initial nursing facility visit, typically 45 minutes per day	18	16	$275.00	$177.63
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$80.00	$16.65
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	13	13	$156.54	$140.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$291.36	$170.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,908	364	$150.00	$96.27
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	1,315	380	$200.00	$138.42
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	336	65	$75.00	$67.61
99213 Established patient office or other outpatient visit, typically 15 minutes	323	171	$169.09	$97.06
99306 Initial nursing facility visit, typically 45 minutes per day	238	212	$275.00	$167.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	233	198	$250.00	$144.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	149	$211.98	$135.02
99335 Established patient assisted living visit, typically 25 minutes	222	58	$125.05	$105.84
99316 Nursing facility discharge management, more than 30 minutes	158	149	$150.00	$116.57
36415 Insertion of needle into vein for collection of blood sample	125	96	$12.80	$2.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$247.33	$140.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$207.04	$126.67
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	54	37	$84.15	$66.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$258.78	$182.69
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	39	27	$71.00	$49.80
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$60.00	$15.77
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$270.93	$178.64
99496 Transitional care management services for problem of high complexity	26	20	$368.85	$309.91
87804 Detection test by immunoassay with direct visual observation for influenza virus	18	15	$36.11	$16.25
81002 Urinalysis, manual test	14	14	$31.43	$3.46
G0008 Administration of influenza virus vaccine	13	13	$26.54	$26.06
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	13	13	$110.00	$50.40
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	12	$75.00	$41.19
99325 New patient assisted living visit, typically 30 minutes	12	12	$125.00	$87.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,706	399	$150.00	$96.68
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	402	349	$250.00	$142.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	395	234	$200.00	$153.53
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	270	64	$75.00	$68.15
99213 Established patient office or other outpatient visit, typically 15 minutes	256	148	$174.43	$100.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	111	$207.11	$135.53
99316 Nursing facility discharge management, more than 30 minutes	178	166	$150.00	$118.92
36415 Insertion of needle into vein for collection of blood sample	155	105	$11.90	$3.00
99335 Established patient assisted living visit, typically 25 minutes	104	43	$125.00	$108.54
99306 Initial nursing facility visit, typically 45 minutes per day	67	66	$275.00	$167.82
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	52	35	$85.00	$46.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$216.00	$129.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$273.50	$184.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$255.29	$179.08
G0008 Administration of influenza virus vaccine	28	28	$26.79	$17.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$245.00	$148.36
99496 Transitional care management services for problem of high complexity	22	18	$365.91	$321.69
90662 Influenza vaccine split virus, preservative free	18	18	$76.11	$65.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$100.00	$55.52
99325 New patient assisted living visit, typically 30 minutes	13	13	$128.08	$89.35
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$47.27	$15.72
99326 New patient assisted living visit, typically 45 minutes	11	11	$170.45	$155.40
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$35.00	$20.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,910	361	$150.00	$97.84
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	306	282	$250.00	$142.01
99213 Established patient office or other outpatient visit, typically 15 minutes	299	156	$175.43	$82.12
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	239	63	$75.00	$68.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	123	$203.36	$111.31
36415 Insertion of needle into vein for collection of blood sample	153	112	$11.83	$2.98
99316 Nursing facility discharge management, more than 30 minutes	151	144	$150.00	$117.53
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	108	77	$200.00	$151.59
99335 Established patient assisted living visit, typically 25 minutes	92	41	$125.00	$108.61
99306 Initial nursing facility visit, typically 45 minutes per day	55	54	$275.00	$170.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	52	30	$125.00	$70.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$245.91	$125.28
G0008 Administration of influenza virus vaccine	36	36	$28.33	$17.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$209.56	$121.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$272.50	$183.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$257.74	$179.23
99496 Transitional care management services for problem of high complexity	24	19	$315.00	$282.35
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$41.75	$19.39
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$56.00	$18.69
99326 New patient assisted living visit, typically 45 minutes	14	14	$160.71	$151.80
90662 Influenza vaccine split virus, preservative free	13	13	$66.54	$58.68
99495 Transitional care management services for problem of at least moderate complexity	11	11	$247.73	$210.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	3,267	436	$150.00	$95.57
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	533	140	$125.00	$72.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	499	436	$250.00	$140.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	177	$210.04	$112.57
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	354	269	$200.00	$146.29
99316 Nursing facility discharge management, more than 30 minutes	318	288	$150.00	$113.17
99213 Established patient office or other outpatient visit, typically 15 minutes	280	143	$186.16	$82.43
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	149	53	$75.00	$67.11
99335 Established patient assisted living visit, typically 25 minutes	142	62	$125.00	$105.65
36415 Insertion of needle into vein for collection of blood sample	136	95	$12.39	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$249.05	$124.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$223.79	$123.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$258.37	$176.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$272.50	$183.84
G0008 Administration of influenza virus vaccine	35	34	$29.29	$17.55
99496 Transitional care management services for problem of high complexity	23	20	$322.39	$261.77
99326 New patient assisted living visit, typically 45 minutes	15	15	$150.00	$148.47
93000 Routine ekg using at least 12 leads including interpretation and report	14	12	$51.07	$17.94
81002 Urinalysis, manual test	14	14	$32.86	$3.41
90662 Influenza vaccine split virus, preservative free	12	12	$54.17	$52.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,349	286	$150.00	$91.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,067	209	$125.00	$68.18
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	757	260	$200.00	$137.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	180	$209.82	$104.96
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	375	321	$249.33	$131.10
99316 Nursing facility discharge management, more than 30 minutes	239	217	$150.00	$106.98
99335 Established patient assisted living visit, typically 25 minutes	213	67	$125.00	$99.20
99213 Established patient office or other outpatient visit, typically 15 minutes	190	109	$190.74	$76.13
36415 Insertion of needle into vein for collection of blood sample	128	98	$11.84	$2.94
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	103	49	$75.00	$62.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$247.57	$116.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$265.28	$168.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	59	59	$272.63	$172.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$232.41	$115.90
G0008 Administration of influenza virus vaccine	35	35	$28.43	$21.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	24	$98.75	$55.27
99326 New patient assisted living visit, typically 45 minutes	23	23	$150.00	$145.01
93000 Routine ekg using at least 12 leads including interpretation and report	17	15	$58.82	$17.26
99496 Transitional care management services for problem of high complexity	16	15	$320.00	$244.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	547	130	$200.00	$141.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	396	156	$207.78	$102.85
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	346	113	$200.00	$138.82
99335 Established patient assisted living visit, typically 25 minutes	244	67	$125.00	$98.31
99213 Established patient office or other outpatient visit, typically 15 minutes	143	94	$182.73	$73.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	139	56	$125.00	$70.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	136	124	$250.00	$134.64
36415 Insertion of needle into vein for collection of blood sample	127	85	$13.19	$2.94
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	123	118	$250.00	$129.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	112	65	$150.00	$91.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	89	43	$150.00	$94.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	84	30	$125.00	$71.78
99316 Nursing facility discharge management, more than 30 minutes	79	70	$150.00	$109.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$250.00	$116.58
99316 Nursing facility discharge management, more than 30 minutes	55	53	$150.00	$107.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$269.62	$166.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$249.08	$112.48
G0008 Administration of influenza virus vaccine	40	39	$29.25	$26.41
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	32	23	$75.00	$62.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$273.89	$164.58
93000 Routine ekg using at least 12 leads including interpretation and report	20	18	$59.75	$17.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$100.00	$51.27
99326 New patient assisted living visit, typically 45 minutes	11	11	$150.00	$144.00
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$33.18	$17.48
90662 Influenza vaccine split virus, preservative free	11	11	$45.00	$44.10

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101240433

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Coporate Npi

1972892065 (VA)

Hospital & Practice Group Affiliations

Legacy Healthcare Services Inc

9642 Burke Lake Rd, Burke, VA 220153052

Phone: 7035437920

Virginia Urgent Andprimary Care Llc

5501 Backlick Rd, Springfield, VA 221513940

Phone: 7035645998

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 22, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2013

Registered at 8428 DORSEY CIR, SUITE 101, MANASSAS, VA 201108302 (Tel: 5713798827)

📍

Updated Business Mailing Address April 22, 2013

Registered at 8428 DORSEY CIR, SUITE 101, MANASSAS, VA 201108302 (Tel: 5713798827)

👤

Provider Name / Credentials Updated April 22, 2013

Recorded as NAVDEEP MATHUR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2013

Internal Medicine (License #0101240433 in VA)

🟢

Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952346066

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2006

Last Update: April 22, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8428 Dorsey Cir, Suite 101

Manassas, VA 201108302

Phone: 5713798827

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.