| Centreville Medical Practice Pllc | |
|
5715 Centre Square Dr Centreville VA 20120-1916 | |
| (703) 631-5151 | |
| (703) 631-9754 |
| Full Name | Centreville Medical Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5715 Centre Square Dr, Centreville, Virginia |
| Authorized Official Name and Position | Nasir Ramin (OWNER) |
| Authorized Official Contact | 7036315151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centreville Medical Practice Pllc 5715 Centre Square Dr Centreville VA 20120-1916 Ph: (703) 631-5151 | Centreville Medical Practice Pllc 5715 Centre Square Dr Centreville VA 20120-1916 Ph: (703) 631-5151 |
| NPI Number | 1659675460 |
|---|---|
| Provider Enumeration Date | 01/08/2011 |
| Last Update Date | 01/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659675460 | NPI | - | NPPES |
| 1144388794 | Other | NPI OF DR. NASIR RAMIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101248485 (Virginia) | Primary |
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