Provider Demographics
NPI:1780160010
Name:ALLEGIANCE HOUSE CALLS LLC
Entity type:Organization
Organization Name:ALLEGIANCE HOUSE CALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAHEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:YIRGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:009-691-1048
Mailing Address - Street 1:20 PIDGEON HILL DR STE 208
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-6134
Mailing Address - Country:US
Mailing Address - Phone:800-969-1104
Mailing Address - Fax:
Practice Address - Street 1:20 PIDGEON HILL DR STE 208
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6134
Practice Address - Country:US
Practice Address - Phone:703-539-6029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty