| NPI | 1053592337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH N MEHRA Medical Director 703-968-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: VA 0102033582) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |