Provider Demographics
NPI:1144650839
Name:AFFORDABLE PRIMARY CARE, LLC
Entity type:Organization
Organization Name:AFFORDABLE PRIMARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NARENDRA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-723-3366
Mailing Address - Street 1:10721 MAIN ST STE 2450
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6911
Mailing Address - Country:US
Mailing Address - Phone:571-723-3366
Mailing Address - Fax:703-890-3092
Practice Address - Street 1:10721 MAIN ST STE 2450
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6911
Practice Address - Country:US
Practice Address - Phone:571-723-3366
Practice Address - Fax:703-890-3092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025154207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty