| NPI | 1093486680 |
|---|---|
| Doing Business As | ANNANDALE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BASIM KHAN CEO 703-535-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |