| NPI | 1871187245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISH P SHAH CEO 703-763-5224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |