| NPI | 1396498440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETHANA V RAO President 703-879-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2022-01-29 |