| Sofia Rizwan Md, Pc | |
|
8440 Old Keene Mill Rd Springfield VA 22152-2302 | |
| (703) 569-1300 | |
| (703) 569-1972 |
| Full Name | Sofia Rizwan Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8440 Old Keene Mill Rd, Springfield, Virginia |
| Authorized Official Name and Position | Sofia Rizwan (DIRECTOR) |
| Authorized Official Contact | 5712518930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sofia Rizwan Md, Pc 9305 Castle Hill Rd Springfield VA 22153-3931 Ph: (571) 251-8930 | Sofia Rizwan Md, Pc 8440 Old Keene Mill Rd Springfield VA 22152-2302 Ph: (703) 569-1300 |
| NPI Number | 1295269694 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 04/13/2017 |
| Medicare PECOS PAC ID | 2466729371 |
|---|---|
| Medicare Enrollment ID | O20170525000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295269694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101238675 (Virginia) | Primary |
| Provider Name | Sofia Rizwan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376692434 PECOS PAC ID: 6204976558 Enrollment ID: I20091216000551 |
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