| NPI | 1508213877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM MAHMOODIAN Physician 540-209-0287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101255978) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |