DR. PREM MANCHANDA (NPI# 1063578060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063578060 |
| Entity Type | Individual |
| Full Name | DR. PREM MANCHANDA |
| Credential | M.D. |
| Practice Address |
4100 Orchard Dr Fairfax VA 22032-1021 |
| Mailing Address |
4660 Kenmore Ave Suiye 220 Alexandria VA 22304-1313 |
| Practice Telephone | 7039814865 |
| Practice Fax Number | 8044147762 |
| Mailing Telephone | 7039103484 |
| Mailing Fax Number | 8044147762 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D54095 | MD | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 0101057630 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4100 ORCHARD DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737248 | Alpa Patel Md Pllc | Internal Medicine | 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 | 2020-10-12 |
| 1295223931 | Maturi Medical Group LLC | Internal Medicine | 2751 Prosperity Ave Ste 440, Fairfax, VA 22031-4397 | 2018-04-27 |
| 1447518519 | Kevin A Draper | Internal Medicine | 4702 Sandra Ln, Fairfax, VA 22030-5409 | 2012-04-26 |
| 1184945982 | Angela Pennisi | Internal Medicine | 8081 Innovation Park Dr Fl 3, Fairfax, VA 22031-4867 | 2010-06-15 |
| 1326273228 | Medical Clinics of West Virginia Pllc | Internal Medicine | 2826 Old Lee Hwy, Ste 250, Carelife Medical, Fairfax, VA 22031-4348 | 2009-05-20 |
| 1215179254 | Robert Douglas Janke | Internal Medicine | 8221 Willow Oaks Corporate Dr # 4-420, Fairfax, VA 22031-4512 | 2009-04-06 |
| 1932341849 | Henry Dearborn Ziegler | Internal Medicine | 4300 Thomas Brigade Ln, Fairfax, VA 22033-4273 | 2009-03-25 |
| 1073791513 | Benson W. Yu M.d. Pllc | Internal Medicine | 3601 Chain Bridge Rd Ste D, Fairfax, VA 22030-3243 | 2008-02-06 |
| 1255534301 | Lishan Kassa | Internal Medicine | 10520 Judicial Drive, Medical Section, Fairfax, VA 22030 | 2007-06-07 |
| 1770636508 | Chin Oh Kim | Internal Medicine | 3930 Pender Dr Ste 320, Fairfax, VA 22030-0986 | 2007-01-18 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.