| Biogenomic Medicine Institute, Pllc | |
|
45189 Research Place Suite 150 Ashburn VA 20147 | |
| (703) 894-2224 | |
| (703) 997-2566 |
| Full Name | Biogenomic Medicine Institute, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 45189 Research Place, Ashburn, Virginia |
| Authorized Official Name and Position | Nameer R. Haider (PRESIDENT) |
| Authorized Official Contact | 7037877638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Biogenomic Medicine Institute, Pllc 45189 Research Place Suite 150 Ashburn VA 20147 Ph: (703) 894-2224 | Biogenomic Medicine Institute, Pllc 45189 Research Place Suite 150 Ashburn VA 20147 Ph: (703) 894-2224 |
| NPI Number | 1770975096 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770975096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | MD036385 (Virginia) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | MD036385 (Virginia) | Secondary |
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