| NPI | 1316133697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED IMRAN SHAFQAT Medical Director 540-574-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101230544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101238880) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2015-01-28 |