Ahalya Premkumar, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101044216 Issued in VA

Practice address

21351 Ridgetop Circle
Ste 100
Sterling, VA 20166

Phone

(703) 641-9133

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avicenna Radiology Partners, PC

  • Diagnostic Radiology Physician
  • Clinton, MD
  • NPI 1295772945
  NPD (past)
• Southern Maryland Professional Rad

  • Diagnostic Radiology Physician
  • Clinton, MD
  • NPI 1922009968
  NPD (past)
• Southern Radiology MRI Partnership

  dba MRI of Maryland

  • Diagnostic Radiology Physician
  • Clinton, MD
  • NPI 1568463594
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1568574200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 WILLIAMS DRIVE",
            "address_2": "STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-641-9133",
            "fax_number": "703-280-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21351 RIDGETOP CIRCLE",
            "address_2": "STE 100",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20166",
            "telephone_number": "703-641-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMKUMAR",
        "first_name": "AHALYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0065070",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101044216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mojgan Pourakbar
• Rachel Ann Powell
• Praveena Petluri DMD PLLC
• Premier Healthcare Firm
• Premise Health of Virginia Medical PC (Discovery Wellness Center Sterling)
• Heather Price
• Prime Services LLC (Expedite Home Healthcare Services, LLC)
• Prime Vascular Care LLC
• Primecare Medical Transportation Services LLC
• Tyla J Proctor

• Diagnostic Radiology Physician in Sterling, VA
• Providers in Sterling, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.