| Mbha | |
|
14410 Sommerville Ct Suite 101 Midlothian VA 23113-6835 | |
| (804) 897-9355 | |
| (804) 897-9359 |
| Full Name | Mbha |
|---|---|
| Speciality | Clinic/Center |
| Location | 14410 Sommerville Ct, Midlothian, Virginia |
| Authorized Official Name and Position | Saima Saleem (OFFICE MANAGER) |
| Authorized Official Contact | 8048979355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbha 14410 Sommerville Ct Suite 101 Midlothian VA 23113-6835 Ph: (804) 897-9355 | Mbha 14410 Sommerville Ct Suite 101 Midlothian VA 23113-6835 Ph: (804) 897-9355 |
| NPI Number | 1922326909 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/14/2010 |
| Medicare PECOS PAC ID | 6709058381 |
|---|---|
| Medicare Enrollment ID | O20111003000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922326909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rehan Saleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447216668 PECOS PAC ID: 9032105572 Enrollment ID: I20040819000414 |
| Provider Name | David R Dilzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073551339 PECOS PAC ID: 5991892317 Enrollment ID: I20151217001683 |
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