Organization
INTERNAL MEDICINE CENTER P.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN MECHERIKUNNEL M.D (PRESIDENT)
(703) 435-5510
Entity
Organization
Contact information
Practice address
107 E HOLLY AVE, STE 3, STERLING, VA 20164-5405
(703) 435-5510
(703) 435-3147
Mailing address
PO BOX 650580, STERLING, VA 20165-0580
(703) 435-5510
(703) 435-3147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101221278
VA
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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