Mahnoor Moin (NPI# 1639686009, PAC ID# 1759642341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639686009 |
| PAC ID by PECOS | 1759642341 |
| Professional Enrollment ID | I20180222000633 |
| Full Name | Mahnoor Moin |
| Organization Legal Name | ADVANCED DIGESTIVE CARE LLC |
| Address |
2616 Sherwood Hall Ln Suite 203 Alexandria VA 22306-3154 |
| Phone Number | 7033600594 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375857725 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 | 7033600594 | ADVANCED DIGESTIVE CARE LLC |
| 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 7035800181 | ADVANCED DIGESTIVE CARE LLC |
| 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 7035800181 | ADVANCED DIGESTIVE CARE LLC |
| Organization Legal Name | ADVANCED DIGESTIVE CARE LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eduardo C Noguera | Gastroenterology | Advanced Digestive Care LLC | 11440 Commerce Dr Park, Suite Ll 4, Reston, DC 20191 |
| Jack C Huang | Gastroenterology | Advanced Digestive Care LLC | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 |
| Jacqueline Ramirez | Physician Assistant | Advanced Digestive Care LLC | 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404 |
| Myung Choi | Gastroenterology | Advanced Digestive Care LLC | 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404 |
| Crystal Mcgovern | Nurse Practitioner | Advanced Digestive Care LLC | 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404 |
| Nina Phatak | Gastroenterology | Advanced Digestive Care LLC | 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404 |
| Stafford S Goldstein | Gastroenterology | Advanced Digestive Care LLC | 3301 Woodburn Rd, Suite 107, Annandale, VA 22003-1297 |
| Darren S Baroni | Gastroenterology | Advanced Digestive Care LLC | 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404 |
| Ghazaleh Aram | Gastroenterology | Advanced Digestive Care LLC | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 |
| Jin H Park | Gastroenterology | Advanced Digestive Care LLC | 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404 |
| Street Address |
2616 SHERWOOD HALL LN SUITE 203 |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22306-3154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aladdin A Bolad | Internal Medicine | Primary Care Doctors Group,pc | 2616 Sherwood Hall Ln, Suite 407, Alexandria, VA 22306-3154 |
| Atul V Marathe | Gastroenterology | Advanced Digestive Care LLC | 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 |
| Angelo Pace | Podiatry | 2616 Sherwood Hall Ln, Suite 401, Alexandria, VA 22306-3154 | |
| Arunan Siva Vamadevan | Gastroenterology | Advanced Digestive Care LLC | 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 |
| Frank Procaccino | Gastroenterology | Advanced Digestive Care LLC | 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 |
| Nicholas J Wilson | Gastroenterology | Advanced Digestive Care LLC | 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 |
| Hirza Raza | Physician Assistant | Advanced Digestive Care LLC | 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 |
| Ali Kazemi | Gastroenterology | Advanced Digestive Care LLC | 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 |
| Ann S. Hinds | Qualified Audiologist | Michael V Massa Med Ccc Inc | 2616 Sherwood Hall Ln, Suite 408, Alexandria, VA 22306-3154 |
| Carlyle Hooff Casella | Physician Assistant | Advanced Digestive Care LLC | 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Bodnar | Chiropractic | 6969 Richmond Hwy, Alexandria, VA 22306-1839 | |
| Rudolf G Bickel | Family Practice | Urgent Care of Mount Vernon, LLC | 7609 Richmond Hwy B, Alexandria, VA 22306-2847 |
| Kenneth A Desandies | Obstetrics/gynecology | Accessible Physician Home Care, LLC | 7609 Richmond Hwy, Alexandria, VA 22306-2847 |
| Curtis C Margerum | Chiropractic | 7770 Richmond Hwy, Suite D, Alexandria, VA 22306-2859 | |
| James T Thornburgh | Psychiatry | Mental Health Services | 8119 Holland Rd, Alexandria, VA 22306-3135 |
| Khin T Maw | Psychiatry | Mental Health Services | 8119 Holland Rd, Alexandria, VA 22306-3135 |
| Marija Petrovic | Psychiatry | Mental Health Services | 8119 Holland Rd, Alexandria, VA 22306-3135 |
| Emma Hacker | Clinical Social Worker | Mental Health Services | 8119 Holland Rd, Alexandria, VA 22306-3135 |
| Corey S Thornton | Clinical Social Worker | Mental Health Services | 8119 Holland Rd, Alexandria, VA 22306-3135 |
| Caroline E Roberts | Psychiatry | Mental Health Services | 8119 Holland Rd, Alexandria, VA 22306-3135 |
| Find all physicians in zip 22306 | |||
| City | ALEXANDRIA |
| Zip Code | 22306 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALEXANDRIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mahnoor Moin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.