John P Mamana is a Internal Medicine in Reston, Virginia. John P Mamana practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John P Mamana is 1487654554. The last update date is 2010-03-25.
John P Mamana's current location address is 12040 S Lakes Dr, Reston, Virginia. You can contact this provider via phone number 7032306990 and fax number 7032300350. The mailing address for John P Mamana is 12040 S Lakes Dr, Reston, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | John P Mamana |
---|---|
Address | 12040 S Lakes Dr, Reston, Virginia |
Phone Number | 7032306990 |
Fax Number | 7032300350 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1487654554 |
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Provider Enumeration Date | 2005-07-29 |
Last Updated Date | 2010-03-25 |
Provider Mailing Address Detail
Address | 12040 S Lakes Dr |
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City | Reston |
State | Virginia (VA) |
Post Code | 201911246 |
Phone Number | 7032306990 |
Fax Number | 7032300350 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 101021602 |
Definition: 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 di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
224013 | VA | TRIGON KEYAD | |
257642 | VA | MDIPA/OPTIMUM CHOICE/MAMS | |
5820308 | VA | -- | |
461832 | VA | AETNA/US HEALTHCARE | |
505114 | VA | NCPPO | |
45560004 | VA | BCBS DC CAPCARE | |
5325453-022 | VA | CIGNA HMO | |
400438 | VA | UNITED HEALTH VIRGINIA | |
4092013 | VA | AHP MGD CHOICE | |
541908735 | VA | PREFERRED PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to John P Mamana by the Centers for Medicare & Medicaid Services (CMS)?
The John P Mamana has been assigned the NPI (National Provider Identifier) 1487654554. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of John P Mamana?
The John P Mamana is situated at 12040 S Lakes Dr, in the city of Reston, state of VA, with the zip code 201911246.
What is John P Mamana's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John P Mamana is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487654554 to John P Mamana?
The Centers for Medicare & Medicaid Services assigned the 1487654554 to John P Mamana on 2005-07-29.
As of what date was the information pertaining to John P Mamana, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John P Mamana, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-25.
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