Provider Demographics
NPI:1437518586
Name:PRIMEA HEALTH P. C.
Entity Type:Organization
Organization Name:PRIMEA HEALTH P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANURADHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-241-8551
Mailing Address - Street 1:9420 FERRY LANDING CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-3147
Mailing Address - Country:US
Mailing Address - Phone:814-241-8551
Mailing Address - Fax:703-780-0956
Practice Address - Street 1:2616 SHERWOOD HALL LN
Practice Address - Street 2:#205
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3100
Practice Address - Country:US
Practice Address - Phone:703-501-4488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101255410207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty