| NPI | 1245967033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJAZ M KHAN Owner 540-303-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center Health Service | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2025-04-05 |