Organization
PROGRESSIVE MEDICAL ASSOCIATES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAMRATA PRASAD (OFFICE ADMINISTRATOR)
(703) 470-1061
Entity
Organization
Contact information
Practice address
2812 OLD LEE HWY STE 210B, FAIRFAX, VA 22031-4367
(703) 876-6131
(703) 876-6009
Mailing address
2812 OLD LEE HWY STE 210B, FAIRFAX, VA 22031-4367
(703) 876-6131
(703) 876-6009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
08/19/2020
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