Organization
PRIME MEDICAL CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN BISHWAKARMA M.D. (DIRECTOR)
(703) 746-8408
Entity
Organization
Contact information
Practice address
8101 HINSON FARM RD, SUITE 208, ALEXANDRIA, VA 22306-3403
(703) 746-8408
(703) 746-8407
Mailing address
8101 HINSON FARM RD, SUITE 208, ALEXANDRIA, VA 22306-3403
(703) 746-8408
(703) 746-8407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243193
VA
Other
Enumeration date
09/05/2012
Last updated
12/26/2012
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