KEITH P BERKLE

PRIVIA MEDICAL GROUP,LLC

Dr KEITH P BERKLE is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 2003 from Medical College Of Virginia Commonwealth University School Of Medicine.

Contact

PRIVIA MEDICAL GROUP,LLC

8700 SUDLEY RD
SUITE 220
MANASSAS
VA
201104418

Tel: 5713668845

KEITH P BERKLE Information

Npi 1346457553
Pac Id 4385718147
Professional Enrollment Id I20080729000175
Last Name BERKLE
First Name KEITH
Middle Name P
Suffix
Gender M
Credential
Medical School Name MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRIVIA MEDICAL GROUP,LLC
Group Practice Pac Id 4385682061
Number Of Group Practice Members 1024
Line 1 Street Address 8700 SUDLEY RD
Line 2 Street Address SUITE 220
Marker Of Address Line 2 Suppression
City MANASSAS
State VA
Zip Code 201104418
Phone Number 5713668845
Hospital Affiliation Ccn 1 490069
Hospital Affiliation Lbn 1 BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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