Organization
ALTMED MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUSUDAN PANTHI (MANAGER)
(703) 485-2000
Entity
Organization
Contact information
Practice address
8551 RIXLEW LN STE 140, MANASSAS, VA 20109-4278
(703) 361-4357
(703) 361-0346
Mailing address
8551 RIXLEW LN STE 140, MANASSAS, VA 20109-4278
(703) 361-4357
(703) 361-0346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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