Individual
DR. JOHN P MAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12040 S LAKES DR, SUITE 205, RESTON, VA 20191-1246
(703) 230-6990
(703) 230-6990
Mailing address
12040 S LAKES DR, SUITE205, RESTON, VA 20191-1246
(703) 230-6990
(703) 230-0350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101021602
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400438
UNITED HEALTH VIRGINIA
VA
01
—
0403501
UNITED HEALTH MID-ATLANTI
VA
01
—
110184237
RAILROAD MEDICARE
VA
01
—
224013
TRIGON KEYAD
VA
01
—
257642
MDIPA/OPTIMUM CHOICE/MAMS
VA
01
—
360386
ONE HEALTH GREATWEST
VA
01
—
4092013
AHP MGD CHOICE
VA
01
—
45560004
BCBS DC CAPCARE
VA
01
—
461832
AETNA/US HEALTHCARE
VA
01
—
505114
NCPPO
VA
01
—
5325453-022
CIGNA HMO
VA
01
—
541908735
PREFERRED PLAN
VA
05
—
5820308
—
VA
01
—
723576
AFFORDABLE FIRST HEALTH
VA
Enumeration date
07/29/2005
Last updated
03/25/2010
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