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Amit Kumar Mahajan

Internal Medicine

Allopathic & Osteopathic Physicians

2921 Telestar Ct, Falls Church, VA 22042-1205

PECOS Enrollment

This provider is enrolled in PECOS as AMIT MAHAJAN.

Based on the most recent information from CMS, provider Amit Kumar Mahajan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1265679286
Provider Type
Individual
Full Name
Mahajan, Amit Kumar
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
1/13/2009
Last Updated
8/19/2014

Contact Information

Practice Location

2921 Telestar Ct, Falls Church, VA 22042-1205

(703) 280-5858

(703) 849-0874

Mailing Location

2921 Telestar Ct, Falls Church, VA 22042-1205

(703) 280-5858

(703) 849-0874

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101256907 Virginia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125051798 Illinois

Amit Kumar Mahajan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Dugassa, Mari

Patel, Sahil

Muir, James Cameron

Lo, Angela

Ogundipe, Temitayo Akinsode

Kundi, Rizwan Amin

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Lankarani, Shabnam Daneshvar