Individual ProviderIsra AmjedInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6035 Burke Centre Pkwy Ste 120, Burke, VA 22015-3750(703) 425-6010(443) 849-2682PECOS EnrollmentBased on the most recent information from CMS, provider Isra Amjed is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1730676974Provider TypeIndividualFull NameAmjed, IsraTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/13/2018Last Updated3/22/2024Contact InformationPractice LocationPractice Address6035 Burke Centre Pkwy Ste 120, Burke, VA 22015-3750Phone(703) 425-6010FaxUnlisted FaxMailing LocationMailing Address6565 N Charles St Ste 203, Towson, MD 21204-5805Phone(443) 849-2682FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101280119VirginiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer