NPI | 1518000363 |
---|---|
Entity Type | Organization |
Authorized Contact | ASEEM CHAUDHARY Owner 703-527-1303 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101054519) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101226003) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2014-01-04 |