| NPI | 1992162267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED K MAHBOOB Owner/Director 703-994-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0101241509) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-08-18 |