| Nv Mental Health Llc | |
|
5021 Backlick Rd Unit C Annandale VA 22003-6043 | |
| (703) 821-1434 | |
| Not Available |
| Full Name | Nv Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5021 Backlick Rd Unit C, Annandale, Virginia |
| Authorized Official Name and Position | Mohammad Rafiq (MD) |
| Authorized Official Contact | 7038211434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nv Mental Health Llc Po Box 7182 Fairfax Station VA 22039-7182 Ph: (703) 821-1434 | Nv Mental Health Llc 5021 Backlick Rd Unit C Annandale VA 22003-6043 Ph: (703) 821-1434 |
| NPI Number | 1215288550 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Medicare PECOS PAC ID | 9436301108 |
|---|---|
| Medicare Enrollment ID | O20121203000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215288550 | NPI | - | NPPES |
| 0101251635 | Other | VA | VA LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 1001251635 (Virginia) | Primary |
| Provider Name | Mohammad Rafiq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457563090 PECOS PAC ID: 7315097821 Enrollment ID: I20121203000201 |
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