| NPI | 1063806669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEV R. CHHABRA Member 703-876-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101047271) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-05-21 |