| NPI | 1508875584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANA MAHESHINDER JIT SANDHAR General Manager 703-497-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: VA 0101040696) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2016-02-11 |