Organization
BAY MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHIRGHAM KSHASH M.D. (DIRECTOR)
(914) 217-0802
Entity
Organization
Contact information
Practice address
4010 MAURY PL, STE 8B, ALEXANDRIA, VA 22309-2340
(703) 665-0508
Mailing address
4010 MAURY PL, STE 8B, ALEXANDRIA, VA 22309-2340
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101249593
VA
Other
Enumeration date
06/28/2011
Last updated
07/20/2011
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