| Healing Hands Center Llc | |
|
1964 Gallows Rd Ste 300 Vienna VA 22182-3814 | |
| (703) 712-7199 | |
| (703) 712-7015 |
| Full Name | Healing Hands Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1964 Gallows Rd Ste 300, Vienna, Virginia |
| Authorized Official Name and Position | Constantine Chienku (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7037127199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hands Center Llc 1964 Gallows Rd Ste 300 Vienna VA 22182-3814 Ph: (703) 712-7199 | Healing Hands Center Llc 1964 Gallows Rd Ste 300 Vienna VA 22182-3814 Ph: (703) 712-7199 |
| NPI Number | 1235759903 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 02/15/2022 |
| Medicare PECOS PAC ID | 7214322999 |
|---|---|
| Medicare Enrollment ID | O20220316000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235759903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Constantine N Chienku |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831139336 PECOS PAC ID: 4385829902 Enrollment ID: I20110725000080 |
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