| Vienna Neurological Institute Pllc | |
|
8245 Boone Blvd Ste 540 Vienna VA 22182-3847 | |
| (813) 220-4845 | |
| Not Available |
| Full Name | Vienna Neurological Institute Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8245 Boone Blvd Ste 540, Vienna, Virginia |
| Authorized Official Name and Position | Adam B Lewis (OWNER) |
| Authorized Official Contact | 8132204845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vienna Neurological Institute Pllc 8245 Boone Blvd Ste 540 Vienna VA 22182-3847 Ph: (813) 220-4845 | Vienna Neurological Institute Pllc 8245 Boone Blvd Ste 540 Vienna VA 22182-3847 Ph: (813) 220-4845 |
| NPI Number | 1821798349 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 6002273596 |
|---|---|
| Medicare Enrollment ID | O20230526000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821798349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Adam Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891134219 PECOS PAC ID: 0042581936 Enrollment ID: I20230526000766 |
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