Healthcare Provider Details

I. General information

NPI: 1780160010
Provider Name (Legal Business Name): ALLEGIANCE HOUSE CALLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PIDGEON HILL DR STE 208
STERLING VA
20165-6134
US

IV. Provider business mailing address

20 PIDGEON HILL DR STE 208
STERLING VA
20165-6134
US

V. Phone/Fax

Practice location:
  • Phone: 703-539-6029
  • Fax:
Mailing address:
  • Phone: 800-969-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAHEL G YIRGA
Title or Position: MANAGER MEMBER
Credential:
Phone: 9-691-1048