| NPI | 1972538817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIBEDITA MOHANTY Physician/Owner 540-658-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101045978) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |