Care Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101252586 Issued in VA

Legal business name

CARE MEDICAL LLC

Practice address

25303 Gothic SQ
Chantilly, VA 20152-4104

Phone

(703) 396-5292

Fax

(703) 396-5297

NPI assigned

Apr 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nirav K Thakkar, M.D.

Title

Owner

Phone

(502) 212-9393

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1225457591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25303 GOTHIC SQ",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524104",
            "telephone_number": "703-396-5292",
            "fax_number": "703-396-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25303 GOTHIC SQ",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524104",
            "telephone_number": "703-396-5292",
            "fax_number": "703-396-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-212-9393",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101252586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0101252586",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Iveth Canales, RBT
• Peter Hung Cao, ABOC/NCLE
• Yamilet Cardenas
• Betzaida Cardoza Herrera
• Care 4 Future, LLC
• Eamonn Carolan, LPC
• Christina Carr, OT
• William Carter
• Kasie Michelle Cassell, PMHNP-C
• Alexander Ramos Castro

• Internal Medicine Physician in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.