| NPI | 1326334244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIK SAMDANI P Resident 703-991-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101238655) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-04-24 |