Trident Medical Group LLC

NPI #1043984115 in Lansdowne, Virginia

Provider Information

NPI Number: 1043984115
Entity Type: Organization
Organization Name: Trident Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 3, 2021
Last Updated: Apr 5, 2022

Practice Location

Address: 19415 DEERFIELD AVE STE 103
City: Lansdowne
State: Virginia
ZIP Code: 20176-8470
Phone: (703) 509-9198

Authorized Official

Name: NARESH BASSI, MD, FACP, FHM
Title: PRESIDENT
Phone: (703) 509-9198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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