| NPI | 1952983298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASH DIWAN Owner 703-828-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |