| Ineuroheadachespecialist | |
|
7601 Lewinsville Rd Suite 460 Mc Lean VA 22102-2814 | |
| (703) 828-9492 | |
| (703) 759-5361 |
| Full Name | Ineuroheadachespecialist |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 7601 Lewinsville Rd, Mc Lean, Virginia |
| Authorized Official Name and Position | Mahan Chehrenama (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7037270771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ineuroheadachespecialist 7601 Lewinsville Rd Suite 460 Mc Lean VA 22102-2814 Ph: (703) 828-9492 | Ineuroheadachespecialist 7601 Lewinsville Rd Suite 460 Mc Lean VA 22102-2814 Ph: (703) 828-9492 |
| NPI Number | 1275076150 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275076150 | NPI | - | NPPES |
| 1447220421 | Other | VA | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0102050198 (Virginia) | Primary |
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