AHALYA PREMKUMAR (NPI# 1568574200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568574200 |
| Entity Type | Individual |
| Full Name | AHALYA PREMKUMAR |
| Credential | MD |
| Practice Address |
21351 Ridgetop Circle Ste 100 Sterling VA 20166 |
| Mailing Address |
3015 Williams Drive Ste 200 Fairfax VA 22031 |
| Practice Telephone | 7036419133 |
| Mailing Telephone | 7036419133 |
| Mailing Fax Number | 7032805098 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101044216 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D0065070 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
21351 RIDGETOP CIRCLE STE 100 |
| City | STERLING |
| State | VA |
| Zip Code | 20166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187458 | Vincent Seng | Behavior Technician | 4040 Center Oak Plaza, Suite 150, Sterling, VA 20166 | 2018-06-08 |
| 1205339348 | Morgan Elyse Gillum | Occupational Therapist | 45305 Catalina Ct Ste 101, Sterling, VA 20166 | 2018-03-15 |
| 1376090548 | Chelsea Moore | Behavioral Analyst | 46040 Center Oak Plz Ste 150, Sterling, VA 20166 | 2016-09-06 |
| 1194175711 | Krisha Verma | Dentist | 21631 Ridgetop Cir Ste 240, Sterling, VA 20166 | 2016-06-14 |
| 1265898571 | Bba Home Health Care | Home Health | 23420 Summerstown Place, Dulles, VA 20166 | 2016-01-04 |
| 1588038590 | Mancy Modi | Physical Therapist | 45305 Catalina Court, Suite 103, Sterling, VA 20166 | 2015-11-16 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
| 1053712554 | Rx Ante Pharmacy Services, LLC | Pharmacy | 21630 Ridgetop Circle, Suite 100, Sterling, VA 20166 | 2014-09-16 |
| 1972904738 | Northern Virginia Community Hospital LLC | General Acute Care Hospital | 24440 Stone Springs Boulevard, Dulles, VA 20166 | 2014-09-11 |
| 1518304641 | Institute for The Psychological Sciences | Psychologist | 45154 Underwood Ln., Sterling, VA 20166 | 2013-05-30 |
| Find all providers in zip 20166 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891780003 | Duncan Stewart Barlow | Radiology | 21525 Ridgetop Cir, Suite 260, Sterling, VA 20166-8518 | 2005-09-14 |
| 1720279003 | Sterling Rock Falls Clinic, Ltd | Radiology | 101 E Miller Rd, Sterling, IL 61081-1252 | 2007-08-05 |
| 1629020904 | Krishna Chadalavada | Radiology | 100 E. Lefevre Road, Sterling, IL 61081-1279 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928034 | Sentara Advanced Imaging Solutions, LLC | Radiology | 6201 E Virginia Beach Blvd Ste 104, Norfolk, VA 23502-2824 | 2020-10-05 |
| 1336623123 | Dominion Imaging LLC | Radiology | 6600 W Broad St Ste 200, Richmond, VA 23230-1709 | 2018-09-18 |
| 1851816680 | Washington Radiology Associates, Pllc | Radiology | 1005 N Glebe Rd Ste 110, Arlington, VA 22201-4751 | 2017-08-14 |
| 1992257497 | Ahmed Refaat Dakhly Mohamed | Radiology | 428 Monroe Ln, Apt 206, Charlottesville, VA 22903-3325 | 2016-10-31 |
| 1497140644 | Eric Young You | Radiology | Pob 980615, 1250 E. Marshall St, Richmond, VA 23298-0615 | 2015-04-04 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1740692581 | Charles Manetz | Radiology | 14107 Mortemer Rd, Midlothian, VA 23113-6060 | 2014-05-28 |
| 1821338153 | Minutemen Radiology Inc | Radiology | 4551 Jefferson Pointe Ln, Suite # 5 ., Prince George, VA 23875-1478 | 2013-02-23 |
| 1154673713 | Waleed Ibrahim | Radiology | 4723 Commons Dr, Apt 304, Annandale, VA 22003-5066 | 2012-10-08 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
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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.