| NPI | 1700329067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABNAM DADGAR Owner 703-883-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101249705) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-21 |