| NPI | 1962946756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEEN DOKI Owner 703-698-9400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0101251504) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |