Unknown Individual – Internal Medicine Physician, NPI 1477543973
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11508, Gunpowder Drive, Chapel Hill, Fort Washington, Prince George's County, Maryland, 20744, United States
FORT WASHINGTON, MD 207444226
Phone: (301) 203-7931
Fax: (301) 203-6560
Type: Mailing
9501, Farrell Road, Fort Belvoir South Post, Fort Belvoir, Virginia, 22060, United States
INTERNAL MEDICINE CLINIC
FORT BELVOIR, VA 220605901
Phone: (703) 805-0329
Fax: (703) 805-9979
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20744)
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