PREM P. MANCHANDA MD, PC (NPI# 1548553068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548553068 |
| Entity Type | Organization |
| Organization Name | PREM P. MANCHANDA MD, PC |
| Practice Address |
4660 Kenmore Ave 220 Alexandria VA 22304-1313 |
| Mailing Address |
4100 Orchard Dr Fairfax VA 22032-1021 |
| Practice Telephone | 7039814865 |
| Mailing Telephone | 7039814865 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-11-23 |
| Authorized Official Name | PREM MANCHANDA (OWNER) |
| Authorized Official Telephone | 7039814865 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0101057630 | VA | Ambulatory Health Care Facilities |
| Street Address |
4660 KENMORE AVE 220 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292091 | Lawrence R. Rubin | Internal Medicine | 4660 Kenmore Ave, Ste 1200, Alexandria, VA 22304-1311 | 2005-06-01 |
| 1316403645 | Felicia Cooper | Nurse Practitioner | 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 2019-02-12 |
| 1659812832 | Northern Virginia Laboratory | Clinical Medical Laboratory | 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 2017-03-20 |
| 1023472388 | Dakota Ferrell | Occupational Therapist | 4660 Kenmore Ave, Ste 400, Alexandria, VA 22304-1313 | 2016-04-12 |
| 1194198952 | Stephanie Anne Shaffer | Advanced Practice Midwife | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-11-02 |
| 1396113270 | Cecelia Brown | Advanced Practice Midwife | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-09-09 |
| 1437535358 | Kathleen Martin Bell | Nurse Practitioner | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-08-03 |
| 1760866842 | Kimberly Ann Miller | Nurse Practitioner | 4660 Kenmore Ave, Suite 600, Alexandria, VA 22304-1313 | 2015-07-17 |
| 1649654716 | Nicole Lobo | Physical Therapy Assistant | 4660 Kenmore Ave, Suite 400, Alexandria, VA 22304-1313 | 2015-07-17 |
| 1336522986 | Elise Faith | Midwife | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1313 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
| 1114471117 | Alexandria Industries Family Health & Wellness Clinic | Clinic/Center | 690 Voyager Dr, Suite 8, Alexandria, MN 56308-5295 | 2016-08-08 |
| 1336542042 | Franconia Pediatrics Associates | Clinic/Center | 6078 Franconia Road Ste A/b, Alexandria, VA 22310 | 2014-10-08 |
| 1184052789 | Central La. Family Health and Wellness Center | Clinic/Center | 3516 North Blvd, Suite A, Alexandria, LA 71301-3613 | 2013-10-17 |
| 1972773430 | Tender Heart Pediatrics | Clinic/Center | 2616 Sherwood Hall Ln Ste 402, Alexandria, VA 22306-3154 | 2008-03-11 |
| 1386719524 | Hispanic American Pediatric Associates | Clinic/Center | 5130 Duke Street, Suite 7, Alexandria, VA 22304-7207 | 2006-11-22 |
| 1194198713 | Be Well Medical Group | Clinic/Center | 108 S Columbus St, Suite 201, Alexandria, VA 22314-3064 | 2015-11-04 |
| 1710356522 | Mary's Center | Clinic/Center | 3110 Mount Vernon Ave, Apt. 514, Alexandria, VA 22305-2664 | 2015-09-22 |
| 1396130738 | Bismilah Medical LLC | Clinic/Center | 5501 Cherokee Ave, Suite 205, Alexandria, VA 22312-2305 | 2015-04-02 |
| 1740686377 | Quad/med, LLC | Clinic/Center | 112 S Harrison St, Alexandria, IN 46001-2067 | 2014-11-10 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
Please comment or provide details below to improve the information on PREM P. MANCHANDA MD, PC.
| 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.