Corella, Augusto C.

Corella, Augusto C. is an individual health care provider with primary practice located at 4660 Kenmore Ave Suite 710, Alexandria VA 22304-1313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Corella, Augusto C. can be contacted via phone (703) 370-9002.

Contact Information

Primary practice address
4660 Kenmore Ave Suite 710 Alexandria VA 22304-1313
Phone: (703) 370-9002
Fax: (703) 370-2849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101239903 Virginia

Profile Details

NPI number 1730171455
LBN Legal business name Corella, Augusto C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Feb 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730171455 NPPES
Other 019567106 MEDICARE PTAN

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