| Healthmso Of Va Llc | |
|
11335 Sunset Hills Rd Reston VA 20190-5205 | |
| (703) 348-7857 | |
| (703) 444-4308 |
| Full Name | Healthmso Of Va Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11335 Sunset Hills Rd, Reston, Virginia |
| Authorized Official Name and Position | Pankaj Merchia (MANAGER) |
| Authorized Official Contact | 7033487857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthmso Of Va Llc Po Box 1071 Boca Raton FL 33429-1071 Ph: (703) 348-7857 | Healthmso Of Va Llc 11335 Sunset Hills Rd Reston VA 20190-5205 Ph: (703) 348-7857 |
| NPI Number | 1174860480 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174860480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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