| NPI | 1083581060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJAZ M KHAN Owner 540-303-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208D00000X General Practice |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |