| NPI | 1922356054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA MUFTI Owner 571-249-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2086S0129X Surgery Vascular Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2023-10-13 |