| NPI | 1417300054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABEELA TABASSUM Physician 703-750-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249396) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |