| NPI | 1225899719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIM KHAN CEO 703-535-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-07-15 |