Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 2/18/2020
8269 Private Lane
Annandale, VA 22003
Phone: 703-864-8993
Location Details
- Practitioner spends 10% of time at this location.
- Days that practitioner sees patients at this location:
None
Years in Active Clinical Practice
Last Updated 2/18/2020
Years in Active Clinical Practice Inside US/Canada: 33
Medicaid
Last Updated 2/18/2020
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 2/18/2020
Is a Medicare participating provider
Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 2/18/2020
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 2/18/2020
(Jamestown,NY) WCA Hospital (New Britain ,CT) The Hospital of Central Connecticut (Manchester,CT) Manchester Memorial Hospital
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