| NPI | 1891939898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR NAZAM Physician/Owner 703-379-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101036326) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |