Organization
VIRGINIA INTERNAL MEDICINE, PC AND URGENT CARE SERVICES, INC.
Active
Parent organization
VIRGINIA INTERNAL MEDICINE, PC
Other names
NANA OSEI AMOAH, MD: VIRGINIA INTERNAL MEDICINE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA INTERNAL MEDICINE, PC
Authorized official
DR. NANA O AMOAH M.D. (PHYSICIAN)
(703) 942-7339
Entity
Organization
Contact information
Practice address
6715 LITTLE RIVER TPKE, SUITE 205, ANNANDALE, VA 22003-3546
(703) 942-7339
(703) 942-7448
Mailing address
6715 LITTLE RIVER TPKE, SUITE 205, ANNANDALE, VA 22003-3546
(703) 942-7339
(703) 942-7448
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101245529
VA
261QU0200X
Urgent Care Clinic/Center
0101245529
VA
281P00000X
Chronic Disease Hospital
0101245529
VA
282E00000X
Long Term Care Hospital
0101245529
VA
282N00000X
General Acute Care Hospital
0101245529
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962646596
—
VA
Enumeration date
11/12/2009
Last updated
07/10/2013
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