Fairfax Psychiatry & Behavioral Health Co. | |
2915 Hunter Mill Rd Suite 14 Oakton VA 22124-1716 | |
(571) 594-1755 | |
(703) 218-8417 |
Full Name | Fairfax Psychiatry & Behavioral Health Co. |
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Speciality | Psychiatry & Neurology |
Location | 2915 Hunter Mill Rd, Oakton, Virginia |
Authorized Official Name and Position | Anil R Hinnaria (DIRECTOR) |
Authorized Official Contact | 5715941755 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fairfax Psychiatry & Behavioral Health Co. 12486 Rose Path Cir Fairfax VA 22033-6238 Ph: (571) 594-1755 | Fairfax Psychiatry & Behavioral Health Co. 2915 Hunter Mill Rd Suite 14 Oakton VA 22124-1716 Ph: (571) 594-1755 |
NPI Number | 1477897445 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/15/2012 |
Medicare PECOS PAC ID | 6608882865 |
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Medicare Enrollment ID | O20060224000224 |
Identifier | Type | State | Issuer |
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1477897445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 0101231724 (Virginia) | Primary |
Provider Name | Anil R Hinnaria |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588687263 PECOS PAC ID: 3173514544 Enrollment ID: I20040524000564 |
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