| NPI | 1063891653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA AHMED ABBASI Owner/Physician 703-750-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: VA 0101054694) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |