Provider Demographics
NPI:1851615074
Name:DIMENSIONS DIRECT PRIMARY CARE , PLLC
Entity Type:Organization
Organization Name:DIMENSIONS DIRECT PRIMARY CARE , PLLC
Other - Org Name:INTERNAL MEDICINE OF MANASSAS, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:MEHRA
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:571-229-9183
Mailing Address - Street 1:8503 ARLINGTON BOULEVARD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:571-229-9183
Mailing Address - Fax:571-229-9192
Practice Address - Street 1:8503 ARLINGTON BOULEVARD
Practice Address - Street 2:SUITE 120
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:571-229-9183
Practice Address - Fax:571-229-9192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242263207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty