Internal Medicine Center P.L.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101221278 Issued in VA

Legal business name

INTERNAL MEDICINE CENTER P.L.C

Practice address

107 E Holly Ave
Ste 3
Sterling, VA 20164-5405

Phone

(703) 435-5510

Fax

(703) 435-3147

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ann Mecherikunnel, M.D

Title

President

Phone

(703) 435-5510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Thomas Mecherikunnel, M.D

  • Orthopaedic Hand Surgery Physician
  • Sterling, VA
  • NPI 1720030612
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1255512992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650580",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201650580",
            "telephone_number": "703-435-5510",
            "fax_number": "703-435-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E HOLLY AVE",
            "address_2": "STE 3",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645405",
            "telephone_number": "703-435-5510",
            "fax_number": "703-435-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CENTER P.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "MECHERIKUNNEL",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-435-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101221278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sterling, VA
• Providers in Sterling, 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 Nov 23, 2007; 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.