Organization
TRIDENT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARESH BASSI MD, FACP, FHM (PRESIDENT)
(703) 509-9198
Entity
Organization
Contact information
Practice address
19415 DEERFIELD AVE STE 103, LANSDOWNE, VA 20176-8470
(703) 509-9198
Mailing address
42115 PEMBERLY CT, CHANTILLY, VA 20152-5982
(703) 509-9198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
04/05/2022
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