| Advanced Neurospine Pain Management | |
|
9303 Center St Suite 200 Manassas VA 20110-1800 | |
| (571) 393-3277 | |
| Not Available |
| Full Name | Advanced Neurospine Pain Management |
|---|---|
| Speciality | Pain Medicine |
| Location | 9303 Center St, Manassas, Virginia |
| Authorized Official Name and Position | Behnam Jafarpour (OWNER) |
| Authorized Official Contact | 5713933277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurospine Pain Management 9303 Center St Suite 200 Manassas VA 20110-1800 Ph: (571) 393-3277 | Advanced Neurospine Pain Management 9303 Center St Suite 200 Manassas VA 20110-1800 Ph: (571) 393-3277 |
| NPI Number | 1154791721 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 10/03/2015 |
| Medicare PECOS PAC ID | 7517267115 |
|---|---|
| Medicare Enrollment ID | O20151203003312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154791721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101255908 (Virginia) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 0101255908 (Virginia) | Primary |
| Provider Name | Behnam Jafarpour |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033359336 PECOS PAC ID: 8325274053 Enrollment ID: I20151204001742 |
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