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Contact Information

PRISMAMED SERVICES LLC
44790 MAYNARD SQUARE
SUITE 320
ASHBURN, VA20147
 Phone: 703-868-3011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRISMAMED SERVICES LLC · (Female)

NPI # 1386079788
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2013
Last updated 02/25/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101250130
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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