Ami Professional Services Llc | |
12030 Sunrise Valley Drive, Suite 250, Reston, VA 20191 | |
(571) 375-8366 | |
Not Available |
Full Name | Ami Professional Services Llc |
---|---|
Speciality | Internal Medicine |
Location | 12030 Sunrise Valley Drive, Suite 250,, Reston,, Virginia |
Authorized Official Name and Position | Randy Cook (PRESIDENT) |
Authorized Official Contact | 5713758366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ami Professional Services Llc 12030 Sunrise Valley Drive, Suite 250, Reston, VA 20191 Ph: () - | Ami Professional Services Llc 12030 Sunrise Valley Drive, Suite 250, Reston, VA 20191 Ph: (571) 375-8366 |
NPI Number | 1386228013 |
---|---|
Provider Enumeration Date | 05/10/2021 |
Last Update Date | 05/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386228013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |